SEC FORM 3 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*
Ralston Shannon

(Last) (First) (Middle)
C/O KIROMIC BIOPHARMA, INC.

(Street)
HOUSTON TX 77054

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/14/2024
3. Issuer Name and Ticker or Trading Symbol
Kiromic Biopharma, Inc. [ KRBP ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
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
Series C Convertible Voting Preferred Stock (1) (1) Common Stock 2,783,140 6.5 I See Footnote(2)
Series D Convertible Voting Preferred Stock (3) (3) Common Stock 3,438,904 2.5 I See Footnote(2)
$2,400,000 Senior Secured Convertible Note(4) 06/26/2023 06/26/2024 Common Stock 451,538 6.5 I See Footnote(2)
$2,400,000 Senior Secured Convertible Note(4) 07/25/2023 07/25/2024 Common Stock 444,045 6.5 I See Footnote(2)
$2,400,000 Senior Secured Convertible Note(4) 08/25/2023 08/25/2024 Common Stock 567,258 5 I See Footnote(2)
$2,400,000 Senior Secured Convertible Note(4) 09/27/2023 09/27/2024 Common Stock 556,333 5 I See Footnote(2)
$2,400,000 Senior Secured Convertible Note(4) 11/02/2023 11/02/2024 Common Stock 1,089,333 2.5 I See Footnote(2)
$2,000,000 Senior Secured Convertible Note(4) 04/02/2024 04/02/2025 Common Stock 823,889 2.5 I See Footnote(2)
$2,000,000 Senior Secured Convertible Note(4) 05/01/2024 05/01/2025 Common Stock 808,333 2.5 I See Footnote(2)
$1,239,703 Senior Secured Convertible Note(5) 05/22/2024 (5) Common Stock 280,887 4.414 I See Footnote(2)
Explanation of Responses:
1. The Reporting Person holds 14,000 shares of Series C Convertible Voting Preferred Stock which is convertible immediately into 2,783,140 shares of common stock and is subject to a 19.99% blocker.
2. Through S.hield Cap1tal Funding LLC.
3. The Reporting Person holds 8,000 shares of Series D Convertible Voting Preferred Stock is convertible immediately into 3,483,904 shares of common stock and is subject to a 19.99% blocker.
4. The Senior Secured Convertible Notes bear interest at 25% and are subject to a 19.99% blocker.
5. The Reporting Person holds a $1,239,703 Senior Secured Convertible Note which was previously comprised of accrued interest on convertible notes exchanged into Series C and D Convertible Voting Preferred Stock. The note is convertible into shares of common stock immediately at the request of the Reporting Person and there is no expiration to this conversion right. The note is subject to a 19.99% blocker.
/s/ Shannon Ralston 05/22/2024
** 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).
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