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*
BENDER LEWIS H

(Last) (First) (Middle)
C/O INTENSITY THERAPEUTICS, INC.
61 WILTON ROAD, 3RD FLOOR

(Street)
WESTPORT CT 06880

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/29/2023
3. Issuer Name and Ticker or Trading Symbol
INTENSITY THERAPEUTICS, INC. [ INTS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
President and CEO
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)
Common Stock, $0.0001 Par Value 2,000,000 D
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 Common Stock) (1) 08/06/2029 Common Stock 75,000 9 D
Stock Option (right to buy Common Stock) (2) 07/31/2030 Common Stock 75,000 11.5 D
Stock Option (right to buy Common Stock) (3) 08/13/2031 Common Stock 75,000 11.5 D
Stock Option (right to buy Common Stock) (4) 12/13/2032 Common Stock 75,000 9 D
Explanation of Responses:
1. This option is fully vested and exercisable.
2. This option is vested and exercisable with regard to 37,500 shares of Common Stock. This option will vest with regard to the remaining shares of Common Stock, subject to the individual's continued employment with Intensity Therapeutics, Inc., in two equal annual installments, beginning on July 31, 2023.
3. This option is vested and exercisable with regard to 37,500 shares of Common Stock. This option will vest with regard to the remaining shares of Common Stock, subject to the individual's continued employment with Intensity Therapeutics, Inc., in two equal annual installments, beginning on August 13, 2023.
4. This option is vested and exercisable with regard to 18,750 shares of Common Stock. This option will vest with regard to the remaining shares of Common Stock, subject to the individual's continued employment with Intensity Therapeutics, Inc., in three equal annual installments beginning on December 13, 2023.
Remarks:
Exhibit 24 - Power of Attorney
/s/ Daniel L. Woodard, Attorney-in-Fact 06/29/2023
** 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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.