FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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(Print or Type Responses)
1. Name and Address of Reporting Person *
Forbes Alexandria
  2. Issuer Name and Ticker or Trading Symbol
MeiraGTx Holdings plc [MGTX]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
PRESIDENT & CEO
(Last)
(First)
(Middle)
450 EAST 29TH STREET, 14TH FLOOR
3. Date of Earliest Transaction (Month/Day/Year)
01/07/2024
(Street)

NEW YORK, NY 10016
4. If Amendment, Date 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
(City)
(State)
(Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Ordinary Shares 01/07/2024   M   125,000 (1) A (2) 1,404,489 (3) (4) D  
Ordinary Shares 01/07/2024   F   66,095 (5) D $ 6.3 1,338,394 D  
Ordinary Shares 01/08/2024   M   48,750 (6) A (2) 1,387,144 D  
Ordinary Shares 01/08/2024   F   25,777 (5) D $ 6.63 1,361,367 D  
Ordinary Shares               28,985 (4) I By GRAT 2022

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(Month/Day/Year)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Share Units (2) 01/07/2024   M     125,000   (1)   (1) Ordinary Shares 125,000 $ 0 125,000 D  
Restricted Share Units (2) 01/08/2024   M     48,750   (6)   (6) Ordinary Shares 48,750 $ 0 0 D  

Reporting Owners

Reporting Owner Name / Address Relationships
 Director  10% Owner  Officer  Other
Forbes Alexandria
450 EAST 29TH STREET
14TH FLOOR
NEW YORK, NY 10016
  X     PRESIDENT & CEO  

Signatures

 /s/ Richard Giroux, Attorney-in-Fact for Alexandria Forbes   01/09/2024
**Signature of Reporting Person Date

Explanation of Responses:

* If the form is filed by more than one reporting person, see Instruction 4(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).
(1) Represents vesting of one-half of restricted share units granted on January 7, 2022.
(2) Each restricted share unit converts into one ordinary share upon vesting.
(3) On July 14, 2023, in a transaction exempt from Section 16 (including the reporting requirements) by virtue of Rule 16a-13, the reporting person received 27,024 ordinary shares as an annuity payment from a grantor retained annuity trust ("GRAT") and now reports "direct" beneficial ownership of those shares.
(4) On August 11, 2023, in a transaction exempt from Section 16 (including the reporting requirements) by virtue of Rule 16a-13, the reporting person received 146,015 ordinary shares as an annuity payment from a second grantor retained annuity trust ("GRAT") and now reports "direct" beneficial ownership of those shares.
(5) Shares withheld for payment of taxes upon vesting of award.
(6) Represents vesting of one-quarter of restricted share units granted on January 8, 2020.

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