0001209191-12-031215.txt : 20120530 0001209191-12-031215.hdr.sgml : 20120530 20120530170949 ACCESSION NUMBER: 0001209191-12-031215 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120529 FILED AS OF DATE: 20120530 DATE AS OF CHANGE: 20120530 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: O'Toole David D CENTRAL INDEX KEY: 0001491140 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33185 FILM NUMBER: 12878411 MAIL ADDRESS: STREET 1: 1640 MARENGO STREET CITY: LOS ANGELES STATE: CA ZIP: 90033 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: 4350 LA JOLLA VILLAGE DRIVE STREET 2: SUITE 950 CITY: SAN DIEGO STATE: CA ZIP: 92122 BUSINESS PHONE: 858-373-1500 MAIL ADDRESS: STREET 1: 4350 LA JOLLA VILLAGE DRIVE STREET 2: SUITE 950 CITY: SAN DIEGO STATE: CA ZIP: 92122 4 1 doc4.xml FORM 4 SUBMISSION X0305 4 2012-05-29 0 0001226616 MEDICINOVA INC MNOV 0001491140 O'Toole David D C/O MEDICINOVA, INC. 4350 LA JOLLA VILLAGE DR., STE 950 SAN DIEGO CA 92122 1 0 0 0 Common Stock 2012-05-29 4 P 0 5000 1.78 A 5000 D /s/ Michael Coffee, Attorney-in-Fact 2012-05-30