0001213900-23-093262.txt : 20231206 0001213900-23-093262.hdr.sgml : 20231206 20231206061441 ACCESSION NUMBER: 0001213900-23-093262 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: Widdows Peter CENTRAL INDEX KEY: 0001997183 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41106 FILM NUMBER: 231468366 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 0001997183 Widdows Peter 105 / 8 CENTURY CIRCUIT NORWEST, NEW SOUTH WALES C3 2153 AUSTRALIA 1 0 0 0 Common Stock 170847 D Stock Option (right to buy) 16.44 2023-11-28 2026-04-30 Common Stock, par value $0.0001 11050 D /s/ Peter Widdows 2023-12-06