SEC Form 3
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*
FRATTAROLI JOSEPH

(Last) (First) (Middle)
3350 RIVERWOOD PARKWAY SE, SUITE 1900

(Street)
ATLANTA GA 30339

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/22/2020
3. Issuer Name and Ticker or Trading Symbol
Inhibikase Therapeutics, Inc. [ IKT ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
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 Beneficially Owned
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)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
Warrant (right to buy) 08/25/2020 08/25/2027 Common Stock 21,854 $5.9 I By Flagship Consulting, Inc.
Warrant (right to buy) 08/25/2021 08/25/2027 Common Stock 150,000 $5.9 I By Flagship Consulting, Inc.
Convertible Note (1) 12/31/2021 Common Stock (1) (1) I By Flagship Consulting, Inc.
Explanation of Responses:
1. The Convertible Note has a maturity date of December 31, 2021. Prior to the maturity date, the Convertible Note will automatically convert into common stock of the Issuer if, on or prior to December 31, 2020, the Issuer consummates an initial public offering ("IPO") and will convert into such number of shares of common stock equal to the principal amount of the note, plus accrued and unpaid interest (which accrues at a rate of 5% per annum) as of the closing of the IPO, divided by the IPO price.
Remarks:
Exhibit List: Exhibit 24 - Power of Attorney
/s/ Milton H. Werner, attorney-in-fact 12/22/2020
** 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.