SC 13G

 

 

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13G

Under the Securities Exchange Act of 1934

(Amendment No.    )*

 

 

CervoMed Inc.

(Name of Issuer)

Common Stock, par value $0.001 per share

(Title of Class of Securities)

15713L109

(CUSIP Number)

August 16, 2023

(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 the disclosures provided in a prior cover page.

The information required in 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, as amended (the “Act”) or otherwise subject to the liabilities of the section of the Act but shall be subject to all other provisions of that Act (however, see the Notes).

 

 

 


CUSIP No. 15713L109

 

  1.    

  NAMES OF REPORTING PERSONS

 

  AI EIPP Holdings LLC

  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:

 

  State of Delaware

NUMBER OF

SHARES

 BENEFICIALLY 

OWNED BY

EACH

REPORTING

PERSON

WITH

   5.     

  SOLE VOTING POWER:

 

  0

   6.   

  SHARED VOTING POWER:

 

  568,811(1)

   7.   

  SOLE DISPOSITIVE POWER:

 

  0

   8.   

  SHARED DISPOSITIVE POWER:

 

  568,811(1)

  9.    

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON:

 

  568,811(1)

10.  

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS):

 

  ☐

11.  

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9):

 

  9.99%(2)

12.  

  TYPE OF REPORTING PERSON (SEE INSTRUCTIONS):

 

  OO (Limited Liability Company)

 

(1)

Represents (i) 549,249 shares of the Issuer’s Common Stock, and (ii) 19,562 shares of Common Stock underlying pre-funded warrants held by AI EIPP Holdings, LLC exercisable at a price per share of $19.81, on or before April 2, 2028 (the “Warrants”).

(2)

Based on 5,674,250 shares of the Issuer’s Common Stock outstanding.

 

2


CUSIP No. 15713L109

 

  1.    

  NAMES OF REPORTING PERSONS

 

  Access Industries Management, LLC

  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:

 

  State of Delaware

NUMBER OF

SHARES

 BENEFICIALLY 

OWNED BY

EACH

REPORTING

PERSON

WITH

   5.     

  SOLE VOTING POWER:

 

  0

   6.   

  SHARED VOTING POWER:

 

  568,811(1)

   7.   

  SOLE DISPOSITIVE POWER:

 

  0

   8.   

  SHARED DISPOSITIVE POWER:

 

  568,811(1)

  9.    

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON:

 

  568,811(1)

10.  

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS):

 

  ☐

11.  

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9):

 

  9.99%(2)

12.  

  TYPE OF REPORTING PERSON (SEE INSTRUCTIONS):

 

  OO (Limited Liability Company)

 

(1)

Represents (i) 549,249 shares of the Issuer’s Common Stock, and (ii) 19,562 shares of Common Stock underlying the Warrants.

(2)

Based on 5,674,250 shares of the Issuer’s Common Stock outstanding.

 

3


CUSIP No. 15713L109

 

  1.    

  NAMES OF REPORTING PERSONS

 

  Len Blavatnik

  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:

 

  0

   6.   

  SHARED VOTING POWER:

 

  568,811(1)

   7.   

  SOLE DISPOSITIVE POWER:

 

  0

   8.   

  SHARED DISPOSITIVE POWER:

 

  568,811(1)

  9.    

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON:

 

  568,811(1)

10.  

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS):

 

  ☐

11.  

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9):

 

  9.99%(2)

12.  

  TYPE OF REPORTING PERSON (SEE INSTRUCTIONS):

 

  IN

 

(1)

Represents (i) 549,249 shares of the Issuer’s Common Stock, and (ii) 19,562 shares of Common Stock underlying the Warrants.

(2)

Based on 5,674,250 shares of the Issuer’s Common Stock outstanding.

 

4


Schedule 13G

CUSIP No. 15713L109

 

Item 1.

 

  (a)

Name of Issuer:

CervoMed Inc. (the “Issuer”).

 

  (b)

Address of Issuer’s Principal Executive Offices:

20 Park Plaza, Suite 424

Boston, Massachusetts 02216

 

Item 2.

 

  (a)

Name of Person Filing:

This filing is being made on behalf of (collectively, the “Access Filers”):

AI EIPP Holdings LLC (“AI EIPP”)

Access Industries Management, LLC (“AIM”)

Len Blavatnik

 

  (b)

Address of Principal Business Office or, if none, Residence:

The principal business office of each reporting person is c/o Access Industries, Inc., 40 West 57th Street, 28th Floor, New York, NY 10019.

 

  (c)

Citizenship:

Each of AI EIPP and AIM is a limited liability company organized under the laws of the State of Delaware.

Mr. Blavatnik is a citizen of the United States of America.

 

  (d)

Title of Class of Securities:

Common Stock, par value $0.001 per share (“Common Stock”).

 

  (e)

CUSIP Number:

15713L109

 

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)       A non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J);
(k)       Group, in accordance with § 240.13d-1(b)(1)(ii)(K).

Not Applicable.

 

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:

See the responses to Item 9 on the attached cover pages.

 

  (b)

Percent of class:

See Item 11 of the attached cover pages. The percentages reported in Item 11 of the attached cover pages are based upon 5,674,250 shares of the Issuer’s Common Stock outstanding.

 

  (c)

Number of shares as to which the person has:

 

  (i)

Sole power to vote or to direct the vote:

See the responses to Item 5 on the attached cover pages.

 

  (ii)

Shared power to vote or to direct the vote:

See the responses to Item 6 on the attached cover pages.

 

  (iii)

Sole power to dispose or to direct the disposition:

See the responses to Item 7 on the attached cover pages.

 

  (iv)

Shared power to dispose or to direct the disposition:

See the responses to Item 8 on the attached cover pages.

549,249 shares of Common Stock are owned directly by AI EIPP, as well as Warrants exercisable into 42,556 shares of Common Stock, of which 19,562 of such shares are deemed to be beneficially owned by AI EIPP pursuant to the terms of the warrant agreement (which limits the number of Warrants exercisable into Common Stock to an amount that would not result in the holder beneficially owning more than 9.99% of the outstanding Common Stock). Such shares of Common Stock may be deemed to be beneficially owned by AIM and Mr. Blavatnik because (i) AIM is the sole manager of AI EIPP and (ii) Len Blavatnik controls AIM and holds a majority of the outstanding voting interests in AI EIPP. Each of AIM and Mr. Blavatnik, and each of their affiliated entities and the officers, partners, members and managers thereof, disclaims beneficial ownership of these securities.

 

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 or Control Person.

Not Applicable.

 

Item 8.

Identification and Classification of Members of the Group.

Not Applicable.

 

Item 9.

Notice of Dissolution of Group.

Not Applicable.

 

6


Item 10.

Certifications.

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under § 240.14a–11.

 

7


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.

Date: August 28, 2023

 

AI EIPP HOLDINGS LLC     By: Access Industries Management, LLC, its Manager
   

/s/ Alejandro Moreno

    Name:   Alejandro Moreno
    Title:   Executive Vice President
ACCESS INDUSTRIES MANAGEMENT, LLC    

/s/ Alejandro Moreno

    Name:   Alejandro Moreno
    Title:   Executive Vice President
   

*

    Name:   Len Blavatnik

 

*

The undersigned, by signing his name hereto, executes this Schedule 13G pursuant to the Power of Attorney executed on behalf of Mr. Blavatnik and filed herewith.

 

By:  

/s/ Alejandro Moreno

Name:   Alejandro Moreno
  Attorney-in-Fact

 

8

EX-99.1

Exhibit 99.1

JOINT FILING AGREEMENT

Pursuant to Rule 13d-1(k)(1) promulgated under the Securities Exchange Act of 1934, as amended, the undersigned agree that the Statement on Schedule 13G to which this Exhibit is attached is filed on behalf of each of them. Each of them is individually eligible to use the Schedule 13G to which this Exhibit is attached. Each of them is responsible for the timely filing of such Schedule 13G and any amendments thereto, and for the completeness and accuracy of the information concerning such person contained therein; but none of them is responsible for the completeness or accuracy of the information concerning the other persons making the filing, unless such person knows or has reason to believe that such information is inaccurate.

IN WITNESS WHEREOF, the undersigned hereby execute this Joint Filing Agreement as of August 28, 2023.

 

AI EIPP HOLDINGS LLC     By: Access Industries Management, LLC, its Manager
   

/s/ Alejandro Moreno

    Name:   Alejandro Moreno
    Title:   Executive Vice President
ACCESS INDUSTRIES MANAGEMENT, LLC    

/s/ Alejandro Moreno

    Name:   Alejandro Moreno
    Title:   Executive Vice President
   

*

    Name: Len Blavatnik

 

*

The undersigned, by signing his name hereto, executes this Joint Filing Agreement pursuant to the Power of Attorney executed on behalf of Mr. Blavatnik and filed herewith.

 

    By:  

/s/ Alejandro Moreno

    Name:   Alejandro Moreno
      Attorney-in-Fact
EX-99.2

Exhibit 99.2

LIMITED POWER OF ATTORNEY

Know all by these presents, that the undersigned hereby constitutes and appoints Lincoln Benet and Alejandro Moreno, and each of them individually, the undersigned’s true and lawful attorney-in-fact to:

 

   

execute for and on behalf of the undersigned, in the undersigned’s capacity as a beneficial owner of CervoMed Inc. (the “Company”): (i) Forms 3, 4 and 5 and any other forms required to be filed in accordance with Section 16(a) of the Securities Exchange Act of 1934 (the “Exchange Act”) and the rules thereunder (a “Section 16 Form”), (ii) all forms and schedules in accordance with Section 13(d) of the Exchange Act and the rules thereunder, including all amendments thereto (a “Section 13 Schedule”), (iii) a Form ID Application, Passphrase Update Application and/or request to convert from paper only to electronic filer with the U.S. Securities and Exchange Commission and to obtain access codes to file on EDGAR and any other forms required to be filed or submitted in accordance with Regulation S-T promulgated by the United States Securities and Exchange Commission (or any successor provision) in order to file a Section 13 Schedule or a Section 16 Form electronically (a “Form ID”, and, together with a Section 16 Form and a Section 13 Schedule, the “Forms and Schedules”) and (iv) any Joint Filing Agreement or similar agreement with respect to the filing of any of the Forms or Schedules in (i) through (iii) above;

 

   

do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Forms and Schedules, complete and execute any amendments thereto, and timely file such Forms and Schedules with the U.S. Securities and Exchange Commission and any stock exchange or similar authority; and

 

   

take any other action of any type whatsoever in connection with the foregoing which, in the opinion of each such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by each such attorney-in-fact on behalf of the undersigned pursuant to this Limited Power of Attorney shall be in such form and shall contain such terms and conditions as he may approve in his discretion.

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that each such attorney-in-fact, or his substitute or substitutes, shall lawfully do or cause to be done by virtue of this Limited Power of Attorney and the rights and powers herein granted.

The undersigned acknowledges that each such attorney-in-fact is serving in such capacity at the request of the undersigned, and is not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 13 or Section 16 of the Exchange Act.

This Limited Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file any Forms and Schedules with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to each such attorney-in-fact.

From and after the date hereof, any Limited Power of Attorney previously granted by the undersigned concerning the subject matter hereof is hereby revoked.


IN WITNESS WHEREOF, the undersigned has executed this Limited Power of Attorney as of August 28, 2023.

 

LEONARD BLAVATNIK

/s/ Len Blavatnik

 

2