1. Name and Address of Reporting Person*
| C/O MIND MEDICINE (MINDMED), INC. |
| ONE WORLD TRADE CENTER, SUITE 8500 |
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year) 05/23/2022
|
3. Issuer Name and Ticker or Trading Symbol
Mind Medicine (MindMed) Inc.
[ MNMD ]
|
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
|
10% Owner |
| X |
Officer (give title below) |
|
Other (specify below) |
| Chief Financial 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 |
|