0000899243-21-049962.txt : 20211228 0000899243-21-049962.hdr.sgml : 20211228 20211228174254 ACCESSION NUMBER: 0000899243-21-049962 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211224 FILED AS OF DATE: 20211228 DATE AS OF CHANGE: 20211228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gutierrez-Esteinou Rolando CENTRAL INDEX KEY: 0001860581 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40493 FILM NUMBER: 211525735 MAIL ADDRESS: STREET 1: C/O ATAI LIFE SCIENCES N.V. STREET 2: 180 VARICK STREET CITY: NEW YORK STATE: NY ZIP: 10014 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ATAI Life Sciences N.V. CENTRAL INDEX KEY: 0001840904 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: P7 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 180 VARICK STREET CITY: NEW YORK STATE: NY ZIP: 10014 BUSINESS PHONE: (617) 699-5876 MAIL ADDRESS: STREET 1: 180 VARICK STREET CITY: NEW YORK STATE: NY ZIP: 10014 FORMER COMPANY: FORMER CONFORMED NAME: ATAI Life Sciences B.V. DATE OF NAME CHANGE: 20210115 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-12-24 0 0001840904 ATAI Life Sciences N.V. ATAI 0001860581 Gutierrez-Esteinou Rolando C/O ATAI LIFE SCIENCES N.V. KRAUSENSTRABE 9-10 BERLIN 2M 10117 GERMANY 0 1 0 0 Chief Medical Officer Stock Option 7.72 2021-12-24 4 A 0 325000 0.00 A 2031-12-23 Common Shares 325000 325000 D The stock option vests as to 25% of the underlying shares on December 24, 2022 and in 36 equal monthly installments thereafter. /s/ Ryan Barrett, Attorney-in-fact 2021-12-28