0001209191-23-018063.txt : 20230310 0001209191-23-018063.hdr.sgml : 20230310 20230310215504 ACCESSION NUMBER: 0001209191-23-018063 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230308 FILED AS OF DATE: 20230310 DATE AS OF CHANGE: 20230310 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Eisner Mark CENTRAL INDEX KEY: 0001834161 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36740 FILM NUMBER: 23725519 MAIL ADDRESS: STREET 1: C/O FIBROGEN, INC. STREET 2: 409 ILLINOIS STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94158 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIBROGEN INC CENTRAL INDEX KEY: 0000921299 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 409 ILLINOIS STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94158 BUSINESS PHONE: 415-978-1200 MAIL ADDRESS: STREET 1: 409 ILLINOIS STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94158 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2023-03-08 0 0000921299 FIBROGEN INC FGEN 0001834161 Eisner Mark C/O FIBROGEN, INC. 409 ILLINOIS ST. SAN FRANCISCO CA 94158 0 1 0 0 Chief Medical Officer Common Stock 2023-03-08 4 S 0 7363 21.1559 D 165133 D Common Stock 2023-03-08 4 A 0 7732 0.00 A 172865 D Common Stock 2023-03-08 4 A 0 12451 0.00 A 185316 D Common Stock 2023-03-10 4 S 0 3885 20.1973 D 181431 D Common Stock 2023-03-10 4 S 0 6255 20.1973 D 175176 D Represents the number of shares sold by the reporting person to cover the tax obligation realized upon the vesting of restricted stock units previously reported in Table I. Represents the number of shares released for PSU Milestone Grant vested on March 8, 2023. Represents the number of shares released for PSU TSR Grant vested on March 8, 2023. Represents the number of shares sold by the reporting person to cover the tax obligation realized upon the vesting of PSU Milestone previously reported in Table I. Represents the number of shares sold by the reporting person to cover the tax obligation realized upon the vesting of PSU TSR previously reported in Table I. /s/ Cecelia Monoarfa-Taime, Attorney-in-fact 2023-03-10