Sec Form 4 Filing - Newman James W. Jr. @ ADIAL PHARMACEUTICALS, INC. - 2018-07-31

Insider filing report for Changes in Beneficial Ownership
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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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Newman James W. Jr.
2. Issuer Name and Ticker or Trading Symbol
ADIAL PHARMACEUTICALS, INC. [ ADIL]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
1180 SEMINOLE TRAIL, SUITE 495
3. Date of Earliest Transaction (MM/DD/YY)
07/31/2018
(Street)
CHARLOTTESVILLE,, VA22901
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction 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 07/31/2018 C 29,931 ( 1 ) A 41,160 I Newman GST Trust FBO James W. Newman Jr. ( 2 )
Common Stock 07/31/2018 C 21,715 ( 3 ) A 58,419 I Virga Ventures, LLC ( 4 )
Common Stock 07/31/2018 C 5,178 ( 5 ) A 15,221 I Ivy Cottage Group, LLC ( 6 )
Common Stock 07/31/2018 J 20,000 ( 7 ) A 35,094 I Ivy Cottage Group, LLC ( 6 )
Common Stock 07/31/2018 J 92,000 ( 8 ) A 140,419 I Virga Ventures, LLC ( 4 )
Common Stock 07/31/2018 P 10,000 ( 12 ) A 150,419 I Virga Ventures, LLC
Common Stock 07/31/2018 P 10,000 ( 13 ) A 10,000 D ( 14 )
Common Stock 10,000 I Roundtop Limited Partnership, LLP ( 11 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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
Convertible Note $ 0.44 07/31/2018 C 29,931 ( 1 ) ( 1 ) Common Stock 29,931 ( 1 ) 0 I Newman GST Trust FBO James W. Newman Jr. ( 2 )
Convertible Note $ 0.44 07/31/2018 C 21,715 ( 3 ) ( 3 ) Common Stock 21,715 ( 3 ) 0 I Virga Ventures LLC ( 4 )
Convertible Note $ 0.44 07/31/2018 C 5,178 ( 5 ) ( 5 ) Common Stock 5,178 ( 5 ) 0 I Ivy Cottage Group, LLC ( 6 )
Warrant to purchase common stock ( 1 ) $ 6.25 07/31/2018 J 29,931 07/31/2018 07/31/2023 Common Stock 29,931 ( 1 ) 29,931 I Newman GST Trust FBO James W. Newman Jr. ( 2 )
Warrant to purchase common stock $ 6.25 07/31/2018 J 21,715 07/31/2018 07/31/2023 Common Stock 21,715 ( 3 ) 21,715 I Virga Ventures LLC ( 4 )
Warrant to purchase common stock $ 6.25 07/31/2018 J 5,178 07/31/2018 07/31/2023 Common Stock 5,178 ( 5 ) 5,178 I Ivy Cottage Group, LLC ( 6 )
Warrant to purchase common stock $ 6.25 07/31/2018 J 20,000 ( 7 ) 07/31/2018 07/31/2023 Common Stock 20,000 ( 7 ) 25,178 I Ivy Cottage Group, LLC ( 6 )
Warrant to purchase common stock $ 6.25 07/31/2018 J 92,000 ( 8 ) 07/31/2018 07/31/2023 Common Stock 92,000 ( 8 ) 92,000 I Virga Ventures LLC ( 4 )
Warrant to purchase units $ 5 07/31/2018 J 20,000 ( 9 ) 07/31/2018 07/31/2023 Units ( 9 ) 40,000 ( 9 ) 20,000 I Ivy Cottage Group, LLC ( 6 )
Warrant to purchase units $ 5 07/31/2018 J 92,000 ( 10 ) 07/31/2018 07/31/2023 Units ( 10 ) 184,000 ( 10 ) 92,000 I Virga Ventures LLC ( 4 )
Warrant to purchase common stock $ 6.25 07/31/2018 P 10,000 ( 12 ) 07/31/2018 07/31/2023 Common Stock 10,000 ( 12 ) 102,000 I Virga Ventures LLC
Warrant to purchase common stock $ 6.25 07/31/2018 P 10,000 ( 13 ) 07/31/2018 07/31/2023 Common Stock 10,000 ( 13 ) 10,000 D ( 14 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Newman James W. Jr.
1180 SEMINOLE TRAIL, SUITE 495
CHARLOTTESVILLE,, VA22901
X
Signatures
/s/ James W. Newman Jr. 07/31/2018
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The 29,931 shares of common stock and a warrant to purchase 29,931 shares of common stock were issued upon automatic conversion of a convertible note in the principal amount of $10,000 together with accrued interest thereon at a conversion price of $0.44 per share upon consummation of the initial public offering on July 31, 2018.
( 2 )James W. Newman is the trustee of the Newman GST Trust FBO James W. Neman Jr.
( 3 )The 21,715 shares of common stock and a warrant to purchase 21,715 shares of common stock were issued upon automatic conversion of a convertible note in the principal amount of $7,255.02 at a conversion price of $0.44 per share upon consummation of the initial public offering.
( 4 )James W. Newman is the sole member of Virga Ventures, LLC
( 5 )The 5,178 shares of common stock and a warrant to purchase 5,178 shares of common stock were issued upon automatic conversion of a convertible note in the principal amount of $1,729.95 at a conversion price of $0.44 per share upon consummation of the initial public offering.
( 6 )James W. Newman is the general partner of Ivy Cottage Group, LLC
( 7 )The 20,000 shares of common stock and warrants to purchase 20,000 shares of common stock were received by the reporting person upon consummation of the initial public offering in accordance with a Securities Purchase Agreement dated February 22, 2018.
( 8 )The 92,000 shares of common stock and warrants to purchase 92,000 shares of common stock were received by the reporting person upon consummation of the initial public offering in accordance with a Securities Purchase Agreement dated February 22, 2018.
( 9 )The warrant to purchase 20,000 units was received by the reporting person upon consummation of the initial public offering in accordance with a Securities Purchase Agreement dated February 22, 2018. Each unit consisted of a share of common stock and a warrant to purchase a share of common stock. The aggregate number of shares of common stock included in the units and underlying the warrants included in the units is 40,000 shares.
( 10 )The warrant to purchase 92,000 units was received by the reporting person upon consummation of the initial public offering in accordance with a Securities Purchase Agreement dated February 22, 2018. Each unit consisted of a share of common stock and a warrant to purchase a share of common stock. The aggregate number of shares of common stock included in the units and underlying the warrants included in the units is 184,000 shares.
( 11 )James W. Newman is the general partner of Roundtop Limited Partnership, LLP
( 12 )On July 31, 2018, Virga Ventures LLC purchased 10,000 units (the "Units") in the initial public offering at a price of $5.00 per Unit, which corresponds to a price of $4.99 per share of common stock and $0.01 per warrant. Each Unit consisted of one share of common stock and a warrant to purchase one share of common stock. The shares of common stock and warrants were immediately separable upon issuance of the Units in the initial public offering.
( 13 )On July 31, 2018, James W. Newman Jr. Roth IRA purchased 10,000 units (the "Units") in the initial public offering at a price of $5.00 per Unit, which corresponds to a price of $4.99 per share of common stock and $0.01 per warrant. Each Unit consisted of one share of common stock and a warrant to purchase one share of common stock. The shares of common stock and warrants were immediately separable upon issuance of the Units in the initial public offering.
( 14 )Shares are held by the James W. Newman Jr. Roth IRA.

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