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Form 3 JUPITER NEUROSCIENCES, For: Nov 08 Filed by: Rosen Alexander Gustaf Erik

November 8, 2024 9:54 PM EST
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person *
Rosen Alexander Gustaf Erik

(Last) (First) (Middle)
C/O JUPITER NEUROSCIENCES, INC.
1001 NORTH US HWY 1, SUITE 504

(Street)
JUPITER FL 33477

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/08/2024
3. Issuer Name and Ticker or Trading Symbol
JUPITER NEUROSCIENCES, INC. [ JUNS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Administrative Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 356,250
D
 
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock option (right to buy) 01/24/2019 01/23/2029 Common Stock 569,775 (1) 0.74 D  
Stock option (right to buy) 02/01/2020 01/31/2030 Common Stock 168,750 (2) 0.8 D  
Stock option (right to buy) 07/14/2022 07/13/2032 Common Stock 168,750 (3) 1.33 D  
Stock option (right to buy) 09/29/2023 09/28/2033 Common Stock 234,998 (4) 1.33 D  
Stock option (right to buy) 12/18/2023 12/17/2033 Common Stock 29,415 (5) 1.33 D  
Restricted stock award 07/21/2022 07/20/2032 Common Stock 96,608 (6) 0 D  
Restricted stock unit 12/18/2023 12/17/2033 Common Stock 164,554 (7) 0 D  
Explanation of Responses:
1. Fully vested stock options which were granted on January 24, 2019 under the Company's 2016 Equity Incentive Plan.
2. Fully vested stock options which were granted on February 1, 2020 under the Company's 2016 Equity Incentive Plan.
3. Fully vested stock options which were granted on July 14, 2022 under the Company's 2016 Equity Incentive Plan.
4. Fully vested stock options which were granted on September 29, 2023 pursuant to the approval of the board of directors of the issuer as partial consideration for forgiveness of earned compensation owed by the issuer to the Reporting Person.
5. Fully vested stock options which were granted on December 18, 2023 pursuant to the approval of the board of directors of the issuer as partial consideration for forgiveness of earned compensation owed by the issuer to the Reporting Person.
6. Restricted stock awards which were granted on July 22, 2022 under the Company's 2021 Equity Incentive Plan as partial consideration for forgiveness of earned compensation owed by the issuer to the Reporting Person. The restricted stock awards vest at 100% 180 days after the first day of trading of an IPO.
7. Restricted stock units which were granted on December 18, 2023 under the Company's 2023 Equity Incentive Plan as partial consideration for forgiveness of earned compensation owed by the issuer to the Reporting Person. The restricted stock units vest at 100% 180 days after the first day of trading of an IPO.
/s/ Alexander Rosen 11/08/2024
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.


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