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ADIL Adial Pharmaceuticals Inc

1.85
0.06 (3.35%)
Pre Market
Last Updated: 12:15:05
Delayed by 15 minutes
Share Name Share Symbol Market Type
Adial Pharmaceuticals Inc NASDAQ:ADIL NASDAQ Common Stock
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  0.06 3.35% 1.85 1.75 1.89 1,015 12:15:05

Statement of Changes in Beneficial Ownership (4)

04/10/2019 10:01pm

Edgar (US Regulatory)


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 OF SECURITIES
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response...
0.5                       
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

Johnson Bankole A.
2. Issuer Name and Ticker or Trading Symbol

ADIAL PHARMACEUTICALS, INC. [ ADIL ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                    __X__ 10% Owner
__X__ Officer (give title below)    _____ Other (specify below)
Chief Medical Officer
(Last)          (First)          (Middle)

1001 RESEARCH PARK BLVD., SUITE 100
3. Date of Earliest Transaction (MM/DD/YYYY)

10/2/2019
(Street)

CHARLOTTESVILLE,, VA 22911
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. 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  10/2/2019    A    3187  A $0  351055  D   
Common Stock                 40463  I  Medico-Trans Company, LLC (1)
Common Stock                 848336  I  En Fideicomiso De Mi Vida 11/23/2010 (Trust) (2)
Common Stock                 93000  I  En Fidecomiso de Todos Mis Suenos Grantor Retained Annuity Trust dated June 27, 2017 (2)
Common Stock                 22320  I  En Fideicomiso De Mis Suenos 11/23/2010 (Trust) (2)
Common Stock                 10000  I  De Mi Amor 11/23/2010 (Trust) (2)
Common Stock                 4650  I  Efunbowale Johnson (3)
Common Stock                 1395  I  Ade Johnson (3)
Common Stock                 1395  I  Lola Johnson (3)
Common Stock                 930  I  Lina Tiouririne (3)
Common Stock                 930  I  Aida Tiouririne (3)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Trans. Date 3A. Deemed Execution Date, if any 4. Trans. 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 7. Title and Amount of Securities Underlying Derivative Security
(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

Explanation of Responses:
(1)  Medico-Trans Company, LLC is controlled by Bankole Johnson.
(2)  Dr. Johnson is the trustee of each of these trusts.
(3)  Dr. Johnson has a voting proxy on this person's behalf that entitles him to vote these shares.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
Johnson Bankole A.
1001 RESEARCH PARK BLVD., SUITE 100
CHARLOTTESVILLE,, VA 22911

X Chief Medical Officer

Signatures
/s/ Bankole Johnson 10/4/2019
**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 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 control number.

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