0001209191-21-040267.txt : 20210614
0001209191-21-040267.hdr.sgml : 20210614
20210614165815
ACCESSION NUMBER: 0001209191-21-040267
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210610
FILED AS OF DATE: 20210614
DATE AS OF CHANGE: 20210614
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PRYGOCKI MARK A SR
CENTRAL INDEX KEY: 0001257544
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38529
FILM NUMBER: 211015257
MAIL ADDRESS:
STREET 1: C/O MEDICS
STREET 2: 8125 N. HAYDEN RD
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85258
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Verrica Pharmaceuticals Inc.
CENTRAL INDEX KEY: 0001660334
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 463137900
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 10 NORTH HIGH STREET
STREET 2: SUITE 200
CITY: WEST CHESTER
STATE: PA
ZIP: 19380
BUSINESS PHONE: 484-453-3300
MAIL ADDRESS:
STREET 1: 10 NORTH HIGH STREET
STREET 2: SUITE 200
CITY: WEST CHESTER
STATE: PA
ZIP: 19380
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-06-10
0
0001660334
Verrica Pharmaceuticals Inc.
VRCA
0001257544
PRYGOCKI MARK A SR
C/O VERRICA PHARMACEUTICALS INC.
44 WEST GAY STREET, SUITE 400
WEST CHESTER
PA
19380
1
0
0
0
Stock Option (right to buy)
10.56
2021-06-10
4
A
0
5834
0.00
A
2031-06-09
Common Stock
5834
5834
D
The shares underlying this option shall vest and become exercisable in 12 equal monthly installments beginning on July 10, 2021 and, in any event, will be fully vested on the date of the next annual meeting of stockholders, subject to continued service as a director though the applicable vesting date.
/s/ Mark Ballantyne, Attorney-in-Fact
2021-06-14