Sec Form 4 Filing - Schuyler Kevin @ 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
Schuyler Kevin
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 82,461 ( 1 ) A 133,390 D
Common Stock 07/31/2018 J 120,000 ( 2 ) A 253,390 D
Common Stock 07/31/2018 P 90,000 ( 7 ) A 343,390 D
Common Stock 07/31/2018 J 113,800 ( 3 ) A 113,800 I Owned by MVA 151 Investors, LLC ( 6 )
Common Stock 3,042 I Owned by Mr. Schuyler's wife, Carolyn M. Schuyler
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 82,461 ( 1 ) ( 1 ) Common Stock 82,461 ( 1 ) 0 D
Warrant to purchase common stock $ 6.25 07/31/2018 C 82,461 07/31/2018 07/31/2023 Common Stock 82,461 ( 1 ) 82,461 D
Warrant to purchase common stock $ 6.25 07/31/2018 J 120,000 07/31/2018 07/31/2023 Common Stock ( 2 ) 120,000 ( 2 ) 202,461 D
Warrant to purchase common stock $ 6.25 07/31/2018 P 90,000 ( 7 ) 07/31/2018 07/31/2023 Common Stock 90,000 ( 7 ) 292,461 D
Warrant to purchase common stock $ 6.25 07/31/2018 J 113,800 07/31/2018 07/31/2023 Common Stock ( 3 ) 162,200 ( 3 ) 113,800 I Owned by MVA 151 Investors, LLC ( 6 )
Warrant to purchase units $ 5 07/31/2018 J 120,000 07/31/2018 07/31/2023 Units ( 4 ) 240,000 ( 4 ) 120,000 D
Warrant to purchase units $ 5 07/31/2018 J 162,200 07/31/2018 07/31/2023 Units ( 5 ) 324,400 ( 5 ) 162,200 I Owned by MVA 151 Investors, LLC ( 6 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Schuyler Kevin
1180 SEMINOLE TRAIL,
SUITE 495
CHARLOTTESVILLE,, VA22901
X
Signatures
/s/ Kevin Schuyler 07/31/2018
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The 82,461 shares of common stock and a warrant to purchase 82,461 shares of common stock were issued upon automatic conversion of a convertible note in the principal amount of $27,550 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 )The 120,000 shares of common stock and warrants to purchase 120,000 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.
( 3 )The 113,800 shares of common stock and warrants to purchase 113,800 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.
( 4 )The warrant to purchase 120,000 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 240,000 shares.
( 5 )The warrant to purchase 162,200 units was received by MVA 151 Investors LLC 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 324,400 shares.
( 6 )Mr. Schuyler has control over MVA 151 Investors, LLC.
( 7 )On July 31, 2018, Mr. Schuyler purchased 90,000 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.

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