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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*
Valentine Troy
(Last) (First) (Middle)
105 / 8 CENTURY CIRCUIT
(Street)
NORWEST NEW SOUTH WALES, C3 2153
(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/28/2023 		3. Issuer Name and Ticker or Trading Symbol
Incannex Healthcare Inc. [ IXHL ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
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 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 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) 11/28/2023 07/01/2025 Common Stock, par value $0.0001 4,667 17.1 D
Stock Option (right to buy) 11/28/2023 07/01/2026 Common Stock, par value $0.0001 4,667 20.39 D
Stock Option (right to buy)(1) (1) 07/01/2027 Common Stock, par value $0.0001 4,667 23.02 D
Stock Option (right to buy) 11/28/2023 07/01/2026 Common Stock, par value $0.0001 4,667 17.1 D
Stock Option (right to buy)(2) (2) 07/01/2027 Common Stock, par value $0.0001 4,667 20.39 D
Stock Option (right to buy)(3) (3) 07/01/2028 Common Stock, par value $0.0001 4,667 23.02 D
Stock Option (right to buy) 11/28/2023 04/30/2026 Common Stock, par value $0.0001 1,951 16.44 D
Stock Option (right to buy) 11/28/2023 04/30/2026 Common Stock, par value $0.0001 1,917 16.44 I By Mr. Valentine as beneficiary of the GFCR Investments Trust managed
Stock Option (right to buy) 11/28/2023 04/30/2026 Common Stock, par value $0.0001 2,000 16.44 I By Valplan Pty Ltd, a company of which Mr. Valentine is a director
Stock Option (right to buy) 11/28/2023 04/30/2026 Common Stock, par value $0.0001 6,812 16.44 I By Tranaj Nominees Pty Ltd, a company of which Mr. Valentine is a director
Stock Option (right to buy) 11/28/2023 04/30/2026 Common Stock, par value $0.0001 8,797 16.44 I By Alignment Capital Pty Ltd, a company of which Mr. Valentine is a director and major shareholder
Stock Option (right to buy) 11/28/2023 04/30/2026 Common Stock, par value $0.0001 2,960 16.44 I By Cityside Pty Ltd a company wholly-owned by Mr. Valentine
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.
/s/ Troy Valentine 12/06/2023
** 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.