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