Ann Lee - Jan 3, 2022 Form 4 Insider Report for Coya Therapeutics, Inc. (COYA)

Role
Director
Signature
/s/ David Snyder, Attorney-in-Fact
Stock symbol
COYA
Transactions as of
Jan 3, 2022
Transactions value $
$916
Form type
4
Date filed
1/4/2023, 07:30 AM
Next filing
Dec 28, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction COYA Common Stock, par value $0.0001 per share Purchase +10K 10K Jan 3, 2023 Direct F1
transaction COYA Common Stock, par value $0.0001 per share Conversion of derivative security $25.9K +6.48K +64.79% $4.00 16.5K Jan 3, 2023 Direct

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction COYA Warrant to Purchase Common Stock Purchase +5K +111.63% 9.48K Jan 3, 2023 Common Stock, par value $0.0001 per share 5K $7.50 Direct F1
transaction COYA 6% Convertible Note Conversion of derivative security -$25K 6.48K Jan 3, 2023 Common Stock, par value $0.0001 per share 6.48K $4.00 Direct F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Reporting Person purchased 10,000 shares of Common Stock and accompanying warrant to purchase 5,000 shares of Common Stock in the Issuer's initial public offering ("IPO") at a combined purchase price $5.00 per share and accompanying warrant.
F2 Upon the closing of the Issuer's IPO, the Convertible Note automatically converted into shares of common stock by dividing the then-outstanding principal and interest due under the Convertible Note by $4.00, or 80% of the IPO price. The Reporting Person held a Convertible Note for $25,000 that accrued interest at 6% per annum.