0001213900-20-015161.txt : 20200617 0001213900-20-015161.hdr.sgml : 20200617 20200617104708 ACCESSION NUMBER: 0001213900-20-015161 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200617 DATE AS OF CHANGE: 20200617 EFFECTIVENESS DATE: 20200617 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ADIAL PHARMACEUTICALS, INC. CENTRAL INDEX KEY: 0001513525 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 800667150 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-369118 FILM NUMBER: 20968445 BUSINESS ADDRESS: STREET 1: 1180 SEMINOLE TRAIL STREET 2: SUITE 495 CITY: CHARLOTTESVILLE STATE: VA ZIP: 22902 BUSINESS PHONE: 434-422-9800 MAIL ADDRESS: STREET 1: 1180 SEMINOLE TRAIL STREET 2: SUITE 495 CITY: CHARLOTTESVILLE STATE: VA ZIP: 22902 FORMER COMPANY: FORMER CONFORMED NAME: ADial Pharmaceuticals, L.L.C. DATE OF NAME CHANGE: 20170515 FORMER COMPANY: FORMER CONFORMED NAME: Adial Pharmaceuticals, L.L.C. DATE OF NAME CHANGE: 20110218 D 1 primary_doc.xml X0708 D LIVE 0001513525 ADIAL PHARMACEUTICALS, INC. 1180 SEMINOLE TRAIL SUITE 495 CHARLOTTESVILLE VA VIRGINIA 22902 434-422-9800 DELAWARE Adial Pharmaceuticals L.L.C. ADial Pharmaceuticals, L.L.C. Adial Pharmaceuticals, L.L.C. Corporation true 2017 William B. Stilley, III 1180 Seminole Trail, Suite 495 Charlottesville VA VIRGINIA 22902 Executive Officer Director Joseph M. Truluck 1180 Seminole Trail, Suite 495 Charlottesville VA VIRGINIA 22901 Executive Officer James K. Anderson 1180 Seminole Trail, Suite 495 Charlottesville VA VIRGINIA 22901 Director Robertson H. Gilliland 1180 Seminole Trail, Suite 495 Charlottesville VA VIRGINIA 22901 Director Bankole A. Johnson 1180 Seminole Trail, Suite 495 Charlottesville VA VIRGINIA 22901 Executive Officer James W. Newman, Jr. 1180 Seminole Trail, Suite 495 Charlottesville VA VIRGINIA 22901 Director Kevin Schuyler, CFA 1180 Seminole Trail, Suite 495 Charlottesville VA VIRGINIA 22901 Director Tony Goodman 1180 Seminole Trail, Suite 495 Charlottesville VA VIRGINIA 22901 Director Jack W. Reich 1180 Seminole Trail, Suite 495 Charlottesville VA VIRGINIA 22901 Director Pharmaceuticals Decline to Disclose 06b false 2020-06-09 false true true true false 0 Maxim Group LLC 120708 None None THE CHRYSLER BUILDING 405 LEXINGTON AVENUE, 26TH FLOOR NEW YORK NY NEW YORK 10174 CA CALIFORNIA IL ILLINOIS NY NEW YORK false 5217000 5217000 0 Combined purchase price of 2,820,000 shares of common stock (CS) in a registered direct offering & warrants in private placement to purchase 2,115,000 shares of CS with an exercise price of $2.00 per share. false 6 365190 true 0 0 While no offering proceeds are set aside for payments to the named officers or directors, it is possible that some proceeds to be used as working capital will be used indirectly for paying salaries to employees including executive officers. false ADIAL PHARMACEUTICALS, INC. /s/ William B. Stilley, III William B. Stilley, III Chief Executive Officer 2020-06-17