0001213900-23-093265.txt : 20231206
0001213900-23-093265.hdr.sgml : 20231206
20231206061923
ACCESSION NUMBER: 0001213900-23-093265
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: Clark Robert
CENTRAL INDEX KEY: 0001997820
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41106
FILM NUMBER: 231468370
MAIL ADDRESS:
STREET 1: 221 DOSORIS LANE
CITY: GLEN COVE
STATE: NY
ZIP: 11542
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
0001997820
Clark Robert
221 DOSORIS LANE
GLEN COVE
NY
11542
1
0
0
0
Stock Option (right to buy)
65.75
2023-11-28
2024-05-31
Common Stock, par value $0.0001
2500
D
Stock Option (right to buy)
98.63
2023-11-28
2024-05-31
Common Stock, par value $0.0001
2500
D
There are no non-derivative securities beneficially owned.
/s/ Robert Clark
2023-12-06