0001683168-16-000061.txt : 20160909
0001683168-16-000061.hdr.sgml : 20160909
20160909182924
ACCESSION NUMBER: 0001683168-16-000061
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160909
FILED AS OF DATE: 20160909
DATE AS OF CHANGE: 20160909
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MEDICINOVA INC
CENTRAL INDEX KEY: 0001226616
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 330927979
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4275 EXECUTIVE SQUARE
STREET 2: SUITE 650
CITY: LA JOLLA
STATE: CA
ZIP: 92037
BUSINESS PHONE: 858-373-1500
MAIL ADDRESS:
STREET 1: 4275 EXECUTIVE SQUARE
STREET 2: SUITE 650
CITY: LA JOLLA
STATE: CA
ZIP: 92037
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kobayashi Yutaka
CENTRAL INDEX KEY: 0001589259
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33185
FILM NUMBER: 161879704
MAIL ADDRESS:
STREET 1: 4275 EXECUTIVE SQUARE
STREET 2: SUITE 650
CITY: LA JOLLA
STATE: CA
ZIP: 92037
4
1
medicinova_f4-kobayashi.xml
OWNERSHIP DOCUMENT
X0306
4
2016-09-09
0
0001226616
MEDICINOVA INC
MNOV
0001589259
Kobayashi Yutaka
C/O MEDICINOVA, INC.
4275 EXECUTIVE SQUARE, SUITE 650
LA JOLLA
CA
92037
1
0
0
0
Common Stock
2016-09-09
4
P
0
10000
6.67
A
70000
D
The reported shares were purchased with Japanese Yen in multiple transactions. The purchase price reported in Column 4 is a weighted average price at prices ranging from $6.65 to $6.68 inclusive, reflected in US Dollars, based on the applicable currency exchange rate in effect on the date of purchase, rounded to the nearest whole cent. The reporting person undertakes to provide to MediciNova, Inc., any security holder of MediciNova Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the range set forth in this footnote.
/s/ Yuichi Iwaki, attorney-in-fact
2016-09-09