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