0001570562-21-000159.txt : 20210812 0001570562-21-000159.hdr.sgml : 20210812 20210812190609 ACCESSION NUMBER: 0001570562-21-000159 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210810 FILED AS OF DATE: 20210812 DATE AS OF CHANGE: 20210812 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Muilenburg Crystal CENTRAL INDEX KEY: 0001848477 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-38381 FILM NUMBER: 211169208 MAIL ADDRESS: STREET 1: 520 NEWPORT CENTER DRIVE STREET 2: SUITE 1200 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Evolus, Inc. CENTRAL INDEX KEY: 0001570562 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 461385614 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 520 NEWPORT CENTER DRIVE STREET 2: SUITE 1200 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: (949) 284-4555 MAIL ADDRESS: STREET 1: 520 NEWPORT CENTER DRIVE STREET 2: SUITE 1200 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 4/A 1 wf-form4a_162880954622924.xml FORM 4/A X0306 4/A 2021-08-10 2021-08-12 0 0001570562 Evolus, Inc. EOLS 0001848477 Muilenburg Crystal 520 NEWPORT CENTER DRIVE SUITE 1200 NEWPORT BEACH CA 92660 0 1 0 0 Chief Marketing Officer Common Stock 2021-08-10 4 S 0 5362 11.1794 D 90743 D The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person in the second quarter of 2020 and represent shares required to be sold by the Reporting Person to cover tax withholding obligations in connection with the vesting of certain Restricted Stock Units. The shares were sold in multiple trades at prices ranging from $11.1762 to $11.27. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. /s/ Jeffrey J. Plumer, as attorney-in-fact for Crystal Muilenburg 2021-08-12