Statement of Changes in Beneficial Ownership (4)
10 December 2021 - 10:31AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
|
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Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
|
|
1. Name
and Address of Reporting Person *
Cheruvu Pavan |
2. Issuer Name and Ticker or Trading
Symbol Sio Gene Therapies Inc. [ SIOX ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
Chief Executive Officer |
(Last)
(First)
(Middle)
C/O SIO GENE THERAPIES INC., 130 WEST 42ND STREET, 26TH
FLOOR |
3. Date of Earliest Transaction (MM/DD/YYYY)
12/8/2021
|
(Street)
NEW YORK, NY 10036
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line) _X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
12/8/2021 |
|
A |
|
37567 |
A |
$0 |
217993 |
D |
|
Common Stock |
12/8/2021 |
|
F |
|
14884 (1) |
D |
$1.42 |
203109 |
D |
|
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. Code
(Instr. 8) |
5. Number of Derivative Securities Acquired (A) or
Disposed of (D)
(Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date |
7. Title and Amount of Securities Underlying
Derivative Security
(Instr. 3 and 4) |
8. Price of Derivative Security
(Instr. 5) |
9. Number of derivative Securities Beneficially
Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct
(D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Restricted Stock Units |
(2) |
12/8/2021 |
|
D |
|
|
37567 |
(3) |
(3) |
Common Stock |
37567.0 |
$0 |
75133 |
D |
|
Explanation of
Responses: |
(1) |
The shares were sold on
behalf of the Reporting Person in the open market to cover
withholding taxes relating to the settlement of the vested
restricted stock units. |
(2) |
Each restricted stock unit
represents the right to receive one share of the Issuer's common
stock. The shares of common stock underlying the restricted stock
units vested on April 15, 2021 but settlement of the restricted
stock units was delayed until transactions acceptable under the
Issuer's insider trading policy were permitted. |
(3) |
50% of the shares of common
stock underlying the remaining restricted stock units vest on April
15, 2022 and the remainder vest on April 15, 2023, subject to the
Reporting Person providing continuous service to the Issuer through
each such date. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Cheruvu Pavan
C/O SIO GENE THERAPIES INC.
130 WEST 42ND STREET, 26TH FLOOR
NEW YORK, NY 10036 |
X |
|
Chief Executive Officer |
|
Signatures
|
/s/ David Nassif,
Attorney-In-Fact |
|
12/9/2021 |
**Signature of
Reporting Person |
Date |
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