0001104659-22-069712.txt : 20220609 0001104659-22-069712.hdr.sgml : 20220609 20220609170127 ACCESSION NUMBER: 0001104659-22-069712 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220601 FILED AS OF DATE: 20220609 DATE AS OF CHANGE: 20220609 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DiBona Jason CENTRAL INDEX KEY: 0001883055 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41096 FILM NUMBER: 221006705 MAIL ADDRESS: STREET 1: 10455 RIVERSIDE DRIVE CITY: PALM BEACH GARDEN STATE: FL ZIP: 33410 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AeroClean Technologies, Inc. CENTRAL INDEX KEY: 0001872356 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL & COMMERCIAL FANS & BLOWERS & AIR PURIFYING EQUIP [3564] IRS NUMBER: 453213164 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10455 RIVERSIDE DRIVE CITY: PALM BEACH GARDENS STATE: FL ZIP: 33410 BUSINESS PHONE: 833-652-5326 MAIL ADDRESS: STREET 1: 10455 RIVERSIDE DRIVE CITY: PALM BEACH GARDENS STATE: FL ZIP: 33410 FORMER COMPANY: FORMER CONFORMED NAME: AeroClean Technologies, LLC DATE OF NAME CHANGE: 20210713 4 1 tm2218078-3_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2022-06-01 0 0001872356 AeroClean Technologies, Inc. AERC 0001883055 DiBona Jason C/O AEROCLEAN TECHNOLOGIES, INC. 10455 RIVERSIDE DRIVE PALM BEACH GARDENS FL 33410 0 1 0 0 Chief Executive Officer Restricted Stock Units 2022-06-01 4 A 0 141347 0 A Common Stock 141347 141347 D Each restricted stock unit represents a contingent right to receive one share of AERC common stock. These restricted stock units vest in three equal annual installments beginning June 1, 2023. /s/ Ryan Tyler, attorney-in-fact for Mr. DiBona 2022-06-09