FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 08/29/2022 |
3. Issuer Name and Ticker or Trading Symbol
bioAffinity Technologies, Inc. [ BIAF ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock, par value $0.007(1) | 7,142 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (right to buy)(1) | (2) | 07/25/2026 | Common Stock | 2,857 | 7 | D | |
Stock Option (right to buy)(1) | (3) | 11/20/2027 | Common Stock | 2,857 | 7.7 | D | |
Stock Option (right to buy)(1) | (4) | 02/25/2029 | Common Stock | 4,285 | 7.7 | D | |
Stock Option (right to buy)(1) | (5) | 02/05/2030 | Common Stock | 4,285 | 7.7 | D |
Explanation of Responses: |
1. The number of securities and exercise prices reported in this Form 3 reflect the 1-for-7 reverse stock split of the common stock, par value $0.007 (the "Common Stock"), of bioAffinity Technologies, Inc. (the "Issuer"), which became effective with the State of Delaware on June 23, 2022 in connection with the Issuer's initial public offering. |
2. Represents a right to purchase 2,857 shares of Common Stock upon exercise of a ten-year option granted to Dr. Rebel under the Issuer's 2014 Equity Incentive Plan (the "EIP") on July 25, 2016. This option vested in 12 monthly installments beginning on August 25, 2016 and is fully vested and exercisable as of the date of this report. |
3. Represents a right to purchase 2,857 shares of Common Stock upon exercise of a ten-year option granted to Dr. Rebel under the EIP on November 20, 2017. This option vested in 12 monthly installments beginning on December 20, 2017 and is fully vested and exercisable as of the date of this report. |
4. Represents a right to purchase 4,285 shares of Common Stock upon exercise of a ten-year option granted to Dr. Rebel under the EIP on February 25, 2019. This option vested in 12 monthly installments beginning on March 25, 2019 and is fully vested and exercisable as of the date of this report. |
5. Represents a right to purchase 4,285 shares of Common Stock upon exercise of a ten-year option granted to Dr. Rebel under the EIP on February 5, 2020. This option vested in 12 monthly installments beginning on March 5, 2020 and is fully vested and exercisable as of the date of this report. |
Remarks: |
Exhibit List - Exhibit 24.1: Power of Attorney (Vivienne Rebel) |
/s/ Wilhelm E. Liebmann, as attorney-in-fact for Vivienne Rebel | 11/22/2022 | |
** Signature of Reporting Person | Date | |
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 5 (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. |