0001683168-18-001635.txt : 20180608 0001683168-18-001635.hdr.sgml : 20180608 20180608160747 ACCESSION NUMBER: 0001683168-18-001635 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180607 FILED AS OF DATE: 20180608 DATE AS OF CHANGE: 20180608 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kobayashi Yutaka CENTRAL INDEX KEY: 0001589259 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33185 FILM NUMBER: 18889532 MAIL ADDRESS: STREET 1: 4275 EXECUTIVE SQUARE STREET 2: 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 kobayashi_f4-060718.xml OWNERSHIP DOCUMENT X0306 4 2018-06-07 0 0001226616 MEDICINOVA INC MNOV 0001589259 Kobayashi Yutaka C/O MEDICINOVA, INC. 4275 EXECUTIVE SQUARE, SUITE 300 LA JOLLA CA 92037 1 0 0 0 Stock Option (Right to Buy) 9.34 2018-06-07 4 A 0 20000 0 A 2028-06-06 Common Stock 20000 20000 D The option vests in four equal installments on September 30, 2018, December 31, 2018, March 31, 2019 and June 30, 2019, subject to continued service with the Company. /s/ Yuichi Iwaki, attorney-in-fact 2018-06-08