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