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