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*
Goin Kathleen

(Last) (First) (Middle)
C/O PALVELLA THERAPEUTICS, INC.
125 STRAFFORD AVENUE, SUITE 360

(Street)
WAYNE PA 19087

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/13/2024
3. Issuer Name and Ticker or Trading Symbol
PALVELLA THERAPEUTICS, INC. [ PVLA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Operating Officer
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
Stock Option (right to buy) (1) 10/29/2029 Common Stock 14,002 $7.14 D
Stock Option (right to buy) (1) 10/29/2029 Common Stock 11,857 $7.14 D
Stock Option (right to buy) (1) 10/14/2030 Common Stock 25,776 $9.08 D
Stock Option (right to buy) (2) 02/22/2033 Common Stock 10,213 $9.79 D
Stock Option (right to buy) (2) 02/22/2033 Common Stock 85,974 $9.79 D
Stock Option (right to buy) (3) 05/27/2034 Common Stock 16,505 $7.53 D
Stock Option (right to buy) (3) 05/27/2034 Common Stock 13,281 $7.53 D
Explanation of Responses:
1. The stock option is fully vested.
2. The stock option vests in equal monthly installments over a forty-eight month period. The option was granted on February 23, 2023.
3. The stock option vests in equal monthly installments over a forty-eight month period. The option was granted on May 28, 2024.
/s/ Kathleen A. McGowan, Attorney-in-Fact 12/16/2024
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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