Sec Form 3 Filing - Valentine Troy @ Incannex Healthcare Inc. - 2023-11-28

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Valentine Troy
2. Issuer Name and Ticker or Trading Symbol
Incannex Healthcare Inc. [ IXHL]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
105 / 8 CENTURY CIRCUIT
3. Date of Earliest Transaction (MM/DD/YY)
11/28/2023
(Street)
NORWEST NEW SOUTH WALES,, C32153
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 29,250 D
Common Stock 10,000 I By Mr. Valentine as the beneficiary of the GFCR Investments Trust
Common Stock 30,000 I By Valplan Pty Ltd, a company of which Mr. Valentine is a director
Common Stock 10,000 I By Tranaj Nominees Pty Ltd, a company of which Mr. Valentine is a director
Common Stock 242,862 I By Alignment Capital Pty Ltd, a company of which Mr. Valentine is a director and major shareholder
Common Stock 44,400 I By Cityside Pty Ltd, a company wholly-owned by Mr. Valentine
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) $ 17.1 11/28/2023 07/01/2025 Common Stock, par value $0.0001 4,667 D
Stock Option (right to buy) $ 20.39 11/28/2023 07/01/2026 Common Stock, par value $0.0001 4,667 D
Stock Option (right to buy) ( 1 ) $ 23.02 ( 1 ) 07/01/2027 Common Stock, par value $0.0001 4,667 D
Stock Option (right to buy) $ 17.1 11/28/2023 07/01/2026 Common Stock, par value $0.0001 4,667 D
Stock Option (right to buy) ( 2 ) $ 20.39 ( 2 ) 07/01/2027 Common Stock, par value $0.0001 4,667 D
Stock Option (right to buy) ( 3 ) $ 23.02 ( 3 ) 07/01/2028 Common Stock, par value $0.0001 4,667 D
Stock Option (right to buy) $ 16.44 11/28/2023 04/30/2026 Common Stock, par value $0.0001 1,951 D
Stock Option (right to buy) $ 16.44 11/28/2023 04/30/2026 Common Stock, par value $0.0001 1,917 I By Mr. Valentine as beneficiary of the GFCR Investments Trust managed
Stock Option (right to buy) $ 16.44 11/28/2023 04/30/2026 Common Stock, par value $0.0001 2,000 I By Valplan Pty Ltd, a company of which Mr. Valentine is a director
Stock Option (right to buy) $ 16.44 11/28/2023 04/30/2026 Common Stock, par value $0.0001 6,812 I By Tranaj Nominees Pty Ltd, a company of which Mr. Va lentine is a director
Stock Option (right to buy) $ 16.44 11/28/2023 04/30/2026 Common Stock, par value $0.0001 8,797 I By Alignment Capital Pty Ltd, a company of which Mr. Valentine is a director and major shareholder
Stock Option (right to buy) $ 16.44 11/28/2023 04/30/2026 Common Stock, par value $0.0001 2,960 I By Cityside Pty Ltd a company wholly-owned by Mr. Valentine
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Valentine Troy
105 / 8 CENTURY CIRCUIT
NORWEST NEW SOUTH WALES,, C32153
X
Signatures
/s/ Troy Valentine 12/06/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Granted on November 28, 2023. Vesting to occur on June 30, 2024, provided Mr. Valentine is still a director on such date.
( 2 )Granted on November 28, 2023. Vesting to occur on June 30, 2024, provided Mr. Valentine is still a director on such date.
( 3 )Granted on November 28, 2023. Vesting to occur on June 30, 2025, provided Mr. Valentine is still a director on such 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 4(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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