Amended Statement of Ownership (sc 13g/a)
09 February 2023 - 08:17AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE
COMMISSION
Washington, D.C.
20549
SCHEDULE 13G/A
(Amendment No. 1)*
Under the Securities Exchange Act
of 1934
Molekule
Group, Inc.
(Name of Issuer)
Common Stock, par value $0.01 per
share
(Title of Class of
Securities)
007744105
(CUSIP Number)
December 31,
2022
(Date of Event which Requires Filing
of this Statement)
Check the appropriate box to
designate the rule pursuant to which this Schedule is
filed:
|
¨ |
Rule 13d-1(b) |
|
¨ |
Rule 13d-1(c) |
|
x |
Rule 13d-1(d) |
* |
The
remainder of this cover page shall be filled out for a
reporting person’s initial filing on this form with respect to the
subject class of securities, and for any subsequent amendment
containing information which would alter the disclosures provided
in a prior cover page. |
|
|
|
The
information required in the remainder of this cover page shall
not be deemed to be “filed” for the purpose of Section 18 of
the Securities Exchange Act of 1934 (“Act”) or otherwise subject to
the liabilities of that section of the Act but shall be subject to
all other provisions of the Act (however, see the
Notes). |
CUSIP
No. 007744105 |
|
Page 1
of 4 |
1 |
NAMES
OF REPORTING PERSONS |
David
Helfet, M.D. |
2 |
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP |
(a)¨
(b)¨ |
3 |
SEC
USE ONLY |
|
4 |
CITIZENSHIP
OR PLACE OF ORGANIZATION |
United
States |
NUMBER
OF SHARES
BENEFICIALLY OWNED BY
EACH REPORTING PERSON
WITH |
5 |
SOLE
VOTING POWER |
770,107 |
6 |
SHARED
VOTING POWER |
0 |
7 |
SOLE
DISPOSITIVE POWER |
770,107 |
8 |
SHARED
DISPOSITIVE POWER |
0 |
9 |
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
770,107 |
10 |
CHECK
IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
(SEE INSTRUCTIONS) ¨ |
|
11 |
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (9) |
2.5%* |
12 |
TYPE
OF REPORTING PERSON (SEE INSTRUCTIONS) |
IN |
|
|
|
|
* |
Based
on 30,427,750 shares of common stock, par value $0.01 per share
(“Common Stock”), of Molekule Group, Inc. (the
“Issuer”) outstanding as of January 12, 2023, as
reported on the Issuer’s Current Report on Form 8-K, filed
with the Securities and Exchange Commission (the “SEC”) on
January 12, 2023. |
CUSIP
No. 007744105 |
|
Page 2
of 4 |
Item
1(a) |
Name of Issuer: |
|
|
|
Molekule
Group, Inc. |
Item
1(b) |
Address of Issuer’s Principal Executive
Offices: |
|
|
|
10455
Riverside Dr., Palm Beach Gardens, FL 33410 |
Item
2(a) |
Name of Persons Filing: |
|
|
|
David
Helfet, M.D. |
Item
2(b) |
Address of Principal Business Office or, if none,
Residence: |
|
|
|
10455
Riverside Dr., Palm Beach Gardens, FL 33410 |
Item
2(c) |
Citizenship: |
|
|
|
United
States |
Item
2(d) |
Title of Class of Securities: |
|
|
|
Common
stock, par value $0.01 per share |
Item
2(e) |
CUSIP
No.: |
|
|
|
007744105 |
Item
3 |
If this statement is filed pursuant to §§240.13d-1(b) or
240.13d-2(b) or (c), check whether the person filing is
a: |
|
|
|
This
statement is not filed pursuant to §§240.13d-1(b) or
240.13d-2(b) or (c). |
Item
4 |
Ownership: |
|
|
(a) Amount
beneficially owned: |
|
770,107 |
(b) Percent
of class: |
|
2.5%* |
CUSIP
No. 007744105 |
|
Page 3
of 4 |
(c) Number
of shares as to which the person has: |
|
(i) Sole
power to vote or to direct the vote: |
|
770,107 |
|
(ii) Shared
power to vote or to direct the vote: |
|
None |
|
(iii) Sole
power to dispose or to direct the disposition of: |
|
770,107 |
|
(iv) Shared
power to dispose or to direct the disposition of: |
|
None |
* Based on 30,427,750 shares of
Common Stock outstanding as of January 12, 2023, as reported
on the Issuer’s Current Report on Form 8-K, filed with the SEC
on January 12, 2023.
Item
5 |
Ownership of Five Percent or Less of a
Class: |
|
|
|
If
this statement is being filed to report the fact that as of the
date hereof the reporting person has ceased to be the beneficial
owner of more than five percent of the class of securities, check
the following x. |
Item
6 |
Ownership of More than Five Percent on Behalf of Another
Person: |
|
|
|
Not
applicable. |
Item
7 |
Identification and Classification of the Subsidiary Which Acquired
the Security Being Reported on By the Parent Holding Company or
Control Person: |
|
|
|
Not
applicable. |
Item
8 |
Identification and Classification of Members of the
Group: |
|
|
|
Not
applicable. |
Item
9 |
Notice of Dissolution of Group: |
|
|
|
Not
applicable. |
Item
10 |
Certifications: |
|
|
|
Not
applicable. |
CUSIP
No. 007744105 |
|
Page 4
of 4 |
SIGNATURE
After reasonable inquiry and to the
best of my knowledge and belief, I certify that the
information set forth in this statement is true, complete and
correct.
Date:
February 8, 2023 |
|
|
|
By: |
/s/
David Helfet, M.D. |
|
|
David
Helfet, M.D. |
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