0001683168-21-003893.txt : 20210825
0001683168-21-003893.hdr.sgml : 20210825
20210825075246
ACCESSION NUMBER: 0001683168-21-003893
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210823
FILED AS OF DATE: 20210825
DATE AS OF CHANGE: 20210825
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: 211203606
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 300
CITY: LA JOLLA
STATE: CA
ZIP: 92037
BUSINESS PHONE: 858-373-1500
MAIL ADDRESS:
STREET 1: 4275 EXECUTIVE SQUARE
STREET 2: SUITE 300
CITY: LA JOLLA
STATE: CA
ZIP: 92037
4
1
ownership.xml
X0306
4
2021-08-23
0
0001226616
MEDICINOVA INC
MNOV
0001531140
Matsuda Kazuko
C/O MEDICINOVA, INC.
4275 EXECUTIVE SQUARE, SUITE 300
LA JOLLA
CA
92037
1
1
0
0
Chief Medical Officer
Common Stock
2021-08-23
4
M
0
60000
2.30
A
322996
D
Employee Stock Option (Right to Buy)
2.30
2021-08-23
4
M
0
60000
0
D
2021-08-31
Common Stock
60000
0
D
The option vested over a period of 4 years in equal monthly installments from the 9/1/2011 date of grant and is now fully vested.
/s/ Yuichi Iwaki, attorney-in-fact
2021-08-25