0001144204-11-059087.txt : 20111024 0001144204-11-059087.hdr.sgml : 20111024 20111024214635 ACCESSION NUMBER: 0001144204-11-059087 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110721 FILED AS OF DATE: 20111024 DATE AS OF CHANGE: 20111024 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Krivulka Joseph J CENTRAL INDEX KEY: 0001296750 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50481 FILM NUMBER: 111155464 MAIL ADDRESS: STREET 1: 110 ALLEN ROAD CITY: LIBERTY CORNER STATE: NJ ZIP: 07938 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AEOLUS PHARMACEUTICALS, INC. CENTRAL INDEX KEY: 0001261734 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 561953785 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 26361 CROWN VALLEY PARKWAY, SUITE 150 CITY: MISSION VIEJO STATE: CA ZIP: 92691 BUSINESS PHONE: 9494819825 MAIL ADDRESS: STREET 1: 26361 CROWN VALLEY PARKWAY, SUITE 150 CITY: MISSION VIEJO STATE: CA ZIP: 92691 FORMER COMPANY: FORMER CONFORMED NAME: INCARA PHARMACEUTICALS CORP DATE OF NAME CHANGE: 20031205 FORMER COMPANY: FORMER CONFORMED NAME: INCARA INC DATE OF NAME CHANGE: 20030828 4 1 v237983_4.xml OWNERSHIP DOCUMENT X0304 4 2011-07-21 0 0001261734 AEOLUS PHARMACEUTICALS, INC. AOLS 0001296750 Krivulka Joseph J C/O AEOLUS PHARMACEUTICALS, INC. 26361 CROWN VALLEY PKWY, SUITE 150 MISSION VIEJO CA 92691 1 0 0 0 Non-qualified Stock Option (right to buy) 0.40 2011-07-21 4 A 0 11250 0 A 2021-07-21 Common Stock 11250 11250 D Option will vest in equal monthly installments over a period of twelve months from the date of grant, provided that the Director remains on the Board of Directors of the Company. /s/ John L. McManus, by power of attorney 2011-10-24