Sec Form 4 Filing - Mahmood Tahir Ph.D. @ Applied Molecular Transport Inc. - 2023-12-27

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
Mahmood Tahir Ph.D.
2. Issuer Name and Ticker or Trading Symbol
Applied Molecular Transport Inc. [ AMTI]
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)
AMTI C/O CORPORATION TRUST COMPANY,, TRUST CENTER, 1209 ORANGE ST
3. Date of Earliest Transaction (MM/DD/YY)
12/27/2023
(Street)
WILMINGTON, DE19801
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 12/27/2023 D 484,738 D 0 D
Common Stock 12/27/2023 D 3,208,307 D 0 I By Living Trust ( 4 )
Common Stock 12/27/2023 D 391,693 D 0 I By Irrevocable Trust ( 6 )
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
Stock Option (Right to Buy) $ 56.61 12/27/2023 D 164,000 ( 7 ) 03/01/2031 Common Stock 164,000 $ 0 0 D
Stock Option (Right to Buy) $ 8.29 12/27/2023 D 350,000 ( 7 ) 02/15/2032 Common Stock 350,000 $ 0 0 D
Stock Option (Right to Buy) $ 0.34 12/27/2023 D 20,000 ( 8 ) 06/14/2033 Common Stock 20,000 $ 0 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Mahmood Tahir Ph.D.
AMTI C/O CORPORATION TRUST COMPANY,
TRUST CENTER, 1209 ORANGE ST
WILMINGTON, DE19801
X
Signatures
/s/ Brandon Hants Attorney-in-Fact for Tahir Mahmood 12/28/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Pursuant to the Agreement and Plan of Merger dated as of September 21, 2023 (the "Merger Agreement"), by and among Cyclo Therapeutics, Inc. ("Cyclo"), Cameo Merger Sub, Inc. and the Issuer, each share of Issuer's Common Stock was converted into 0.1331 of a share of Cyclo Common Stock (the "Transaction Consideration").
( 2 )Upon closing of the Merger, the Reporting Person received Transaction Consideration of 64,519 shares of Cyclo common stock.
( 3 )Upon closing of the Merger, the Reporting Person received Transaction Consideration of 427,026 shares of Cyclo common stock.
( 4 )These shares are held directly by the Mahmood-Shamsi Living Trust Agreement for which the Reporting Person and spouse serve as co-trustees and over which shares the Reporting Person and his spouse hold voting and dispositive power.
( 5 )Upon closing of the Merger, the Reporting Person received Transaction Consideration of 52,135 shares of Cyclo common stock.
( 6 )These shares are held directly by The Mahmood 2017 Irrevocable Trust for which the Reporting Person serves as trustee and over which shares the Reporting Person hold voting and dispositive power.
( 7 )Pursuant to the Merger Agreement, at the effective time of the merger, each outstanding option with an exercise price of $0.40 or more was cancelled effective as of the closing.
( 8 )Pursuant to the terms of the Merger Agreement, this option was exchanged for an option covering 2,662 shares of Cyclo Common Stock.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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