0001493152-20-016458.txt : 20200820 0001493152-20-016458.hdr.sgml : 20200820 20200820185209 ACCESSION NUMBER: 0001493152-20-016458 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200820 FILED AS OF DATE: 20200820 DATE AS OF CHANGE: 20200820 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ramos Eleanor CENTRAL INDEX KEY: 0001464907 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38552 FILM NUMBER: 201121137 MAIL ADDRESS: STREET 1: ZYMOGENETICS, INC. STREET 2: 1201 EASTLAKE AVENUE E CITY: SEATTLE STATE: WA ZIP: 98102 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Provention Bio, Inc. CENTRAL INDEX KEY: 0001695357 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: P.O. BOX 666 CITY: OLDWICK STATE: NJ ZIP: 08858 BUSINESS PHONE: 908-428-9136 MAIL ADDRESS: STREET 1: P.O. BOX 666 CITY: OLDWICK STATE: NJ ZIP: 08858 FORMER COMPANY: FORMER CONFORMED NAME: Provention Inc. DATE OF NAME CHANGE: 20170120 4 1 ownership.xml X0306 4 2020-08-20 0 0001695357 Provention Bio, Inc. PRVB 0001464907 Ramos Eleanor C/O PROVENTION BIO, INC. P.O. BOX 666 OLDWICK NJ 08858 0 1 0 0 Chief Medical Officer Common Stock 2020-08-20 4 P 0 2500 13.23 A 64500 D /s/ Andrew Drechsler, as attorney-in-fact 2020-08-20