SEC Form SC 13G/A filed by CohBar Inc. (Amendment)
UNITED
STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE
13G
(Amendment No. 3)*
Under
the Securities Exchange Act of 1934
CohBar, Inc.
(Name of Issuer)
Common Stock
(Title of Class of Securities)
19249J109
(CUSIP Number)
December 31, 2021
(Date of Event which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
| ☐ | Rule 13d-1(b) |
| ☐ | Rule 13d-1(c) |
| ☒ | Rule 13d-1(d) |
| * | The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. |
The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
| CUSIP No. 19249J109 | SC 13G | Page 2 of 5 |
| 1. | NAMES OF REPORTING PERSONS I.R.S.
IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) |
|
| 2. | CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP (see instructions) (a) ☐ (b) ☐ |
|
| 3. | SEC USE ONLY |
|
| 4. | CITIZENSHIP
OR PLACE OF ORGANIZATION United States of America |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5. | SOLE
VOTING POWER 5,135,127(1) | ||
| 6. | SHARED VOTING POWER 0 | |||
| 7. | SOLE
DISPOSITIVE POWER 5,135,127(1) | |||
| 8. | SHARED DISPOSITIVE POWER
0 |
| 9. | AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 5,135,127(1) |
|
| 10. | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
|
|
| 11. | PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 5.94% |
|
| 12. | TYPE
OF REPORTING PERSON (see instructions) IN |
| 1. | Includes an aggregate of 59,722 shares issuable upon exercise of stock options and warrants exercisable within 60 days of the date hereof. |
| CUSIP No. 19249J109 | SC 13G | Page 3 of 5 |
Item 1.
| (a) | Name of Issuer CohBar, Inc. | |
| (b) |
Address of Issuer’s Principal Executive Offices Menlo Park, CA 94025 |
Item 2.
| (a) | Name of Person Filing Nir Barzilai | |
| (b) |
Address of the Principal Office or, if none, residence 1455 Adams Drive Menlo Park, CA 94025 | |
| (c) | Citizenship United States of America | |
| (d) | Title of Class of Securities Common Stock, par value $0.001 per share | |
| (e) | CUSIP Number 19249J109 |
Item 3. If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
| (a) | ☐ | Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o). | |
| (b) | ☐ | Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c). | |
| (c) | ☐ | Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c). | |
| (d) | ☐ | Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8). | |
| (e) | ☐ | An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E); | |
| (f) | ☐ | An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F); | |
| (g) | ☐ | A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G); | |
| (h) | ☐ | A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); | |
| (i) | ☐ | A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); | |
| (j) | ☐ | Group, in accordance with §240.13d-1(b)(1)(ii)(J). |
| CUSIP No. 19249J109 | SC 13G | Page 4 of 5 |
Item 4. Ownership.
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
| (a) | Amount beneficially owned: 5,135,127* | ||
| (b) | Percent of class: 5.94% | ||
| (c) | Number of shares as to which the person has: | ||
| (i) | Sole power to vote or to direct the vote: 5,135,127* | ||
| (ii) | Shared power to vote or to direct the vote: 0 | ||
| (iii) | Sole power to dispose or to direct the disposition of: 5,135,127* | ||
| (iv) | Shared power to dispose or to direct the disposition of: 0 | ||
* Includes an aggregate of 59,722 shares issuable upon exercise of stock options and warrants exercisable within 60 days of the date hereof.
Item 5. Ownership of Five Percent or Less of a Class.
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following ☐.
Item 6. Ownership of More than Five Percent on Behalf of Another Person.
Not applicable
Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company.
Not applicable
Item 8. Identification and Classification of Members of the Group.
Not applicable
Item 9. Notice of Dissolution of Group.
Not applicable
Item 10. Certification.
Not applicable
| CUSIP No. 19249J109 | SC 13G | Page 5 of 5 |
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
| February 1, 2022 | |
| Date | |
| /s/ Nir Barzilai | |
| Signature | |
| Nir Barzilai | |
| Name |