Sec Form 4 Filing - Green Park & Golf Ventures II, LLC @ Lantern Pharma Inc. - 2020-06-15

Insider filing report for Changes in Beneficial Ownership
"Insiders might sell their shares for any number of reasons, but they buy them for only one: they think the price will rise"
- Peter Lynch
What is insider trading>>
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
OMB APPROVAL
OMB Number: 3235-0287
Expires: November 30, 2011
Estimated average burden hours per response... 0.5
1. Name and Address of Reporting Person
Green Park & Golf Ventures II, LLC
2. Issuer Name and Ticker or Trading Symbol
Lantern Pharma Inc. [ LTRN]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
5910 N. CENTRAL EXPY, SUITE 1400
3. Date of Earliest Transaction (MM/DD/YY)
06/15/2020
(Street)
DALLAS, TX75206
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ 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, par value $0.0001 06/15/2020 C 41,535 ( 4 ) A 211,291 I See footnote ( 1 )
Common Stock, par value $0.0001 06/15/2020 C 292,605 ( 4 ) A 292,605 I See footnote ( 2 )
Common Stock, par value $0.0001 06/15/2020 C 131,697 ( 4 ) A 131,697 I See footnote ( 3 )
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
Series A Preferred Stock, par value $0.01 ( 5 ) 06/15/2020 C 23,871 ( 5 ) ( 5 ) Common Stock 41,535 ( 4 ) ( 5 ) 0 I See footnote ( 1 )
Series A Preferred Stock, par value $0.01 ( 6 ) 06/15/2020 C 168,164 ( 6 ) ( 6 ) Common Stock 292,605 ( 4 ) ( 6 ) 0 I See footnote ( 2 )
Series A Preferred Stock, par value $0.01 ( 7 ) 06/16/2020 C 75,688 ( 7 ) ( 7 ) Common Stock 131,697 ( 4 ) ( 7 ) 0 I See footnote ( 3 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Green Park & Golf Ventures II, LLC
5910 N. CENTRAL EXPY, SUITE 1400
DALLAS, TX75206
X
GPG LPI Investment, LLC
5910 N. CENTRAL EXPY, SUITE 1400
DALLAS, TX75206
X
Lantern 3-19 Investment, LLC
5910 N. CENTRAL EXPY, SUITE 1400
DALLAS, TX75206
X
Health Wildcatters Fund II, LLC
5910 N. CENTRAL EXPY, SUITE 1400
DALLAS, TX75206
X
Health Wildcatters, LLC
5910 N. CENTRAL EXPY, SUITE 1400
DALLAS, TX75206
X
Green Park & Golf Ventures, LLC
5910 N. CENTRAL EXPY, SUITE 1400
DALLAS, TX75206
X
Garcia Gilbert G. II
5910 N. CENTRAL EXPY, SUITE 1400
DALLAS, TX75206
X
Heighten Clay M
5910 N. CENTRAL EXPY, SUITE 1400
DALLAS, TX75206
X
Soderstrom Carl D
5910 N. CENTRAL EXPY, SUITE 1400
DALLAS, TX75206
X
Signatures
/s/ Gilbert G. Garcia II (8) 06/17/2020
Signature of Reporting Person Date
/s/ Gilbert G. Garcia II (9) 06/17/2020
Signature of Reporting Person Date
/s/ Gilbert G. Garcia II (10) 06/17/2020
Signature of Reporting Person Date
/s/ Gilbert G. Garcia II (11) 06/17/2020
Signature of Reporting Person Date
/s/ Gilbert G. Garcia II (12) 06/17/2020
Signature of Reporting Person Date
/s/ Gilbert G. Garcia II (13) 06/17/2020
Signature of Reporting Person Date
/s/ Gilbert G. Garcia II 06/17/2020
Signature of Reporting Person Date
/s/ Clay M. Heighten M.D. 06/17/2020
Signature of Reporting Person Date
/s/ Carl D. Soderstrom 06/17/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )These securities are directly held by Health Wildcatters Fund II, LLC ("HWF II"). Carl D. Soderstrom and Clay M. Heighten, M.D. are the managing members of Green Park & Golf Ventures, LLC ("GPG"), which is the managing member of Health Wildcatters, LLC ("HW"), which is the managing member of HWF II. Therefore, Carl D. Soderstrom, Clay M. Heighten, M.D., GPG, and HW may be deemed to beneficially own these securities.
( 2 )These securities are directly held by GPG LPI Investment, LLC ("GPG LPI"). Carl D. Soderstrom and Clay M. Heighten, M.D. are the managing members of GPG, which is the managing member GPG LPI. Therefore, Carl D. Soderstrom, Clay M. Heighten, M.D., and GPG may be deemed to beneficially own these securities.
( 3 )These securities are directly held by Lantern 3-19 Investment, LLC ("Lantern 3-19"). Carl D. Soderstrom, Clay M. Heighten, M.D., and Gilbert G. Garcia II are the managing members of Green Park & Golf Ventures II, LLC ("GPG II"), which is the managing member Lantern 3-19. Therefore, Carl D. Soderstrom, Clay M. Heighten, M.D., Gilbert G. Garcia II, and GPG II may be deemed to beneficially own these securities.
( 4 )In connection with the Issuer's initial public offering, which commenced on June 10, 2020 and closed on June 15, 2020 (the "Initial Public Offering"), the Issuer effected a 1.74-for-1 stock split on its outstanding common stock, par value $0.0001 (the "Common Stock"), which was made effective immediately prior to the closing of the Issuer's Initial Public Offering (the "Stock Split"). The share amounts set forth in this column reflect the Stock Split.
( 5 )In connection with the Initial Public Offering, 23,871 shares of the Issuer's Series A Preferred Stock, par value $0.01 ("Series A Preferred Stock"), directly held by HWF II, which had no expiration date, were automatically converted into 41,535 shares of Common Stock for no additional consideration immediately prior to the closing of the Initial Public Offering.
( 6 )In connection with the Initial Public Offering, 168,164 shares of Series A Preferred Stock directly held by GPG LPI, which had no expiration date, were automatically converted into 292,605 shares of Common Stock for no additional consideration immediately prior to the closing of the Initial Public Offering.
( 7 )In connection with the Initial Public Offering, approximately 75,688 shares of Series A Preferred Stock directly held by Lantern 3-19, which had no expiration date, were automatically converted into 131,697 shares of Common Stock for no additional consideration immediately prior to the closing of the Initial Public Offering.

Remarks:
(8) Signed by Gilbert G. Garcia II in his capacity as Principal of Green Park & Golf Ventures, LLC, the managing member of GPG LPI Investment, LLC.(9) Signed by Gilbert G. Garcia II in his capacity as Manager of Green Park & Golf Ventures II, LLC, the managing member of Lantern 3-19 Investment, LLC.(10) Signed by Gilbert G. Garcia II in his capacity as Principal of Green Park & Golf Ventures, LLC, the managing member of Health Wildcatters, LLC, the managing member of Health Wildcatters Fund II, LLC.(11) Signed by Gilbert G. Garcia II in his capacity as Principal of Green Park & Golf Ventures, LLC, the managing member of Health Wildcatters, LLC.(12) Signed by Gilbert G. Garcia II in his capacity as Manager of Green Park & Golf Ventures II, LLC.(13) Signed by Gilbert G. Garcia II in his capacity as Principal of Green Park & Golf Ventures, LLC.

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.