Ownership Submission
|
FORM 3
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549INITIAL 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
|
|
OMB APPROVAL
|
|
OMB Number:3235-0104Expires:January 31, 2005Estimated average burden hours per response...0.5
|
|
|
1. Name and Address of Reporting Person *
|
|
Renninger Robert
|
|
2. Date of Event Requiring Statement (Month/Day/Year)
2024-10-01
|
3. Issuer Name and Ticker or Trading Symbol
Athira Pharma, Inc. [ATHA]
|
|
(Last)
|
(First)
|
(Middle)
|
|
C/O ATHIRA PHARMA, INC. , 18706 NORTH CREEK PARKWAY, SUITE 104
|
|
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
_____ Director
|
_____ 10% Owner
|
|
_____ Officer (give title below)
|
_____ Other (specify below)
|
|
VP of Finance /
|
|
5. If Amendment, Date Original Filed(Month/Day/Year)
|
(Street)
|
|
BOTHELL
|
WA
|
98011
|
|
6. Individual or Join/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
|
2. Amount of Securities Beneficially Owned
|
3. Ownership Form: Direct (D) or Indirect (I)
|
4. Nature of Indirect Beneficial Ownership
|
|
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
|
2. Date Exercisable and Expiration Date
|
3. Title and Amount of Securities Underlying Derivative Security
|
4. Conversion or Exercise Price of Derivative Security
|
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
|
6. Nature of Indirect Beneficial Ownership
|
|
Date Exercisable
|
Expriation Date
|
Title
|
Amount or Number of Shares
|
Reporting Owners
|
Reporting Owner Name / Address
|
Relationships
|
|
Director
|
10% Owner
|
Officer
|
Other
|
Renninger Robert
C/O ATHIRA PHARMA, INC.
18706 NORTH CREEK PARKWAY, SUITE 104
BOTHELL, WA98011
|
|
|
VP of Finance
|
|
Signatures
|
s/ Mark Worthington, Attorney-in-Fact for Robert Renninger
|
2024-10-03
|
|
**Signature of Reporting Person
|
Date
|
Explanation of Responses:
|
(*)
|
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).
|
|
(1)
|
One-fourth of the shares subject to the option vested on July 6, 2021 and one-fourth of the shares subject to the option vest on each year thereafter.
|
|
(2)
|
One-fourth of the shares subject to the option vested on July 6, 2021 and one-fourth of the shares subject to the option vest on each year thereafter.
|
|
(3)
|
One-fourth of the shares subject to the option vested on January 8, 2022 and one-fourth of the shares subject to the option vest on each year thereafter.
|
|
(4)
|
One-fourth of the shares subject to the option vested on December 1, 2022 and one-fourth of the shares subject to the option vest on each year thereafter.
|
|
(5)
|
One forty-eighth (1/48th) of the shares subject to the option vested on February 18, 2022 and one forty-eighth of the shares subject to the option will vest each month thereafter.
|
|
(6)
|
One thirty-sixth (1/36th) of the shares subject to the option vested on February 19, 2023 and one thirty-sixth of the shares subject to the option vest each month thereafter.
|
|
(7)
|
One forty-eighth (1/48th) of the shares subject to the option vested on March 14, 2024 and one forty-eighth of the shares subject to the option will vest each month thereafter.
|
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
See Instruction 6 for procedure.Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
