Statement of Changes in Beneficial Ownership (4)
February 12 2021 - 4:35PM
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
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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
*
Lisi Steven A. |
2. Issuer Name and Ticker or Trading Symbol
Beyond Air, Inc.
[
XAIR
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
CEO and Chairman of the Board |
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(Last)
(First)
(Middle)
C/O BEYOND AIR, INC., 825 EAST GATE BOULEVARD, SUITE 320 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/10/2021 |
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(Street)
GARDEN CITY, NY 11530
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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| Common Stock | 2/10/2021 | | X | | 117112 | A | $4.25 | 1051875 | D | |
| Common Stock | 2/10/2021 | | S(1) | | 70388 | D | $7.0713 | 981487 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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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 |
| Tranche B Warrant (right to buy) | $4.25 | 2/10/2021 | | X | | | 117112 | 2/16/2018 | 2/16/2021 | Common Stock | 117112 | $0 | 0 | D | |
| Explanation of Responses: |
| (1) | On February 10, 2021, the reporting person exercised a warrant to purchase 117,112 shares of common stock, par value $0.0001 per share, of Beyond Air, Inc. (the "Company") for $4.25 a share. The reporting person paid the exercise price on a cashless basis, resulting in the Company's withholding of 70,388 of the warrant shares to pay the exercise price and issuing to the reporting person the remaining 46,724 shares of common stock of the Company. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Lisi Steven A.
C/O BEYOND AIR, INC.
825 EAST GATE BOULEVARD, SUITE 320
GARDEN CITY, NY 11530 | X |
| CEO and Chairman of the Board |
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Signatures
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| /s/ Steven A. Lisi | | 2/12/2021 |
| **Signature of Reporting Person | Date |
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