0001213900-23-093248.txt : 20231206
0001213900-23-093248.hdr.sgml : 20231206
20231206060539
ACCESSION NUMBER: 0001213900-23-093248
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231128
FILED AS OF DATE: 20231206
DATE AS OF CHANGE: 20231206
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Latham Joel
CENTRAL INDEX KEY: 0001997460
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41106
FILM NUMBER: 231468354
MAIL ADDRESS:
STREET 1: 105 / 8 CENTURY CIRCUIT
CITY: NORWEST, NSW
STATE: C3
ZIP: 2153
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Incannex Healthcare Inc.
CENTRAL INDEX KEY: 0001873875
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: C3
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: 401 DOCKLANDS DRIVE
STREET 2: SUITE 15, LEVEL 12
CITY: DOCKLANDS, VICTORIA
STATE: C3
ZIP: 3008
BUSINESS PHONE: 61 409 840 786
MAIL ADDRESS:
STREET 1: 401 DOCKLANDS DRIVE
STREET 2: SUITE 15, LEVEL 12
CITY: DOCKLANDS, VICTORIA
STATE: C3
ZIP: 3008
FORMER COMPANY:
FORMER CONFORMED NAME: Incannex Healthcare Ltd
DATE OF NAME CHANGE: 20210720
3
1
ownership.xml
X0206
3
2023-11-28
0
0001873875
Incannex Healthcare Inc.
IXHL
0001997460
Latham Joel
105 / 8 CENTURY CIRCUIT
NORWEST, NEW SOUTH WALES
C3
2153
AUSTRALIA
1
1
0
0
CEO and President
Common Stock
237485
D
Stock Option (right to buy)
3.29
2023-11-28
2025-06-30
Common Stock, par value $0.0001
7500
D
Stock Option (right to buy)
3.29
2023-11-28
2026-06-30
Common Stock, par value $0.0001
7500
D
Stock Option (right to buy)
3.29
2023-11-28
2027-06-30
Common Stock, par value $0.0001
7500
D
Stock Option (right to buy)
3.29
2023-11-28
2025-06-30
Common Stock, par value $0.0001
7500
D
Stock Option (right to buy)
3.29
2023-11-28
2026-06-30
Common Stock, par value $0.0001
7500
D
Stock Option (right to buy)
3.29
2023-11-28
2027-06-30
Common Stock, par value $0.0001
7500
D
Stock Option (right to buy)
17.10
2023-11-28
2025-07-01
Common Stock, par value $0.0001
9334
D
Stock Option (right to buy)
20.39
2023-11-28
2026-07-01
Common Stock, par value $0.0001
9334
D
Stock Option (right to buy)
23.02
2027-07-01
Common Stock, par value $0.0001
9334
D
Stock Option (right to buy)
17.10
2023-11-28
2026-07-01
Common Stock, par value $0.0001
9334
D
Stock Option (right to buy)
20.39
2027-07-01
Common Stock, par value $0.0001
9334
D
Stock Option (right to buy)
23.02
2028-07-01
Common Stock, par value $0.0001
9334
D
Stock Option (right to buy)
16.44
2023-11-28
2026-04-30
Common Stock, par value $0.0001
15833
D
Granted on November 28, 2023. Vesting to occur on June 30, 2024, provided Mr. Latham is still employed on such date.
Granted on November 28, 2023. Vesting to occur on June 30, 2024, provided Mr. Latham is still employed on such date.
Granted on November 28, 2023. Vesting to occur on June 30, 2025, provided Mr. Latham is still employed on such date.
/s/ Joel Latham
2023-12-06