0001683168-18-000089.txt : 20180109
0001683168-18-000089.hdr.sgml : 20180109
20180109182341
ACCESSION NUMBER: 0001683168-18-000089
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180106
FILED AS OF DATE: 20180109
DATE AS OF CHANGE: 20180109
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Matsuda Kazuko
CENTRAL INDEX KEY: 0001531140
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33185
FILM NUMBER: 18519999
MAIL ADDRESS:
STREET 1: C/O MEDICINOVA, INC.
STREET 2: 4275 EXECUTIVE SQUARE, SUITE 650
CITY: LA JOLLA
STATE: CA
ZIP: 92037
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
4
1
matsuda_f4-010618.xml
OWNERSHIP DOCUMENT
X0306
4
2018-01-06
0
0001226616
MEDICINOVA INC
MNOV
0001531140
Matsuda Kazuko
C/O MEDICINOVA, INC.
4275 EXECUTIVE SQUARE, SUITE 300
LA JOLLA
CA
92037
0
1
0
0
Chief Medical Officer
Employee Stock Option (Right to Buy)
6.10
2018-01-06
4
A
0
280000
0
A
2018-01-06
2027-01-17
Common Stock
280000
280000
D
On January 18, 2017, the reporting person was granted an option to purchase 280,000 shares of common stock. The option vests based on MNOV's satisfaction of certain performance criteria for the fiscal year ended December 31, 2017. The Performance criteria for 2017 have been met, resulting in full vesting of the option.
/s/ Yuichi Iwaki, attorney-in-fact
2018-01-09