X0206 3 2023-08-02 0 0001904286 MIRA PHARMACEUTICALS, INC. MIRA 0001986372 Cappy George C/O MIRA PHARMACEUTICALS, INC. 900 WEST PLATT STREET, SUITE 200 TAMPA FL 33606-2173 true 0001986593 Bay Shore Trust C/O MIRA PHARMACEUTICALS, INC. 900 WEST PLATT STREET, SUITE 200 TAMPA FL 33606-2173 true Common Stock 20000 D Common Stock 2583100 I By Trust Common Stock (right to buy) 5 2023-04-28 2028-04-28 Common Stock 1000000 I By Trust These securities are owned directly by George Cappy ("Mr. Cappy"). These securities are owned directly by the Bay Shore Trust (the "Trust"), a 10% owner of the Issuer, and indirectly by Mr. Cappy as trustee of the Trust. Mr. Cappy disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. /s/ Michelle Yanez, Attorney-in-Fact for George Cappy 2023-08-02 /s/ Michelle Yanez, Attorney-in-Fact for George Cappy, Trustee 2023-08-02