0001209191-21-041571.txt : 20210617
0001209191-21-041571.hdr.sgml : 20210617
20210617172853
ACCESSION NUMBER: 0001209191-21-041571
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210617
FILED AS OF DATE: 20210617
DATE AS OF CHANGE: 20210617
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Afable Richard
CENTRAL INDEX KEY: 0001594021
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35068
FILM NUMBER: 211025966
MAIL ADDRESS:
STREET 1: C/O COVENANT HEALTH NETWORK
STREET 2: 3345 MICHELSON DRIVE, SUITE 100
CITY: IRVINE
STATE: CA
ZIP: 92612
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ACELRX PHARMACEUTICALS INC
CENTRAL INDEX KEY: 0001427925
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 25821 INDUSTRIAL BOULEVARD
STREET 2: SUITE 400
CITY: HAYWARD
STATE: CA
ZIP: 94545
BUSINESS PHONE: 650-216-3500
MAIL ADDRESS:
STREET 1: 25821 INDUSTRIAL BOULEVARD
STREET 2: SUITE 400
CITY: HAYWARD
STATE: CA
ZIP: 94545
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-06-17
0
0001427925
ACELRX PHARMACEUTICALS INC
ACRX
0001594021
Afable Richard
C/O ACELRX PHARMACEUTICALS, INC.
25821 INDUSTRIAL BLVD., SUITE 400
HAYWARD
CA
94545
1
0
0
0
Common Stock
2021-06-17
4
A
0
10000
0.00
A
22250
D
Stock Option (Right to Buy)
1.41
2021-06-17
4
A
0
20000
0.00
A
2022-06-17
2031-06-16
Common Stock
20000
20000
D
Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock.
100% of the restricted stock units shall vest on the first anniversary of the grant date, subject to Reporting Person's continuous service to the Company.
100% of the option shares subject to the option shall vest on the first anniversary of the grant date, subject to Reporting Person's continuous service to the Company.
/s/ Martha Adler, Attorney-In-Fact
2021-06-17