0000899243-19-008679.txt : 20190321
0000899243-19-008679.hdr.sgml : 20190321
20190321161038
ACCESSION NUMBER: 0000899243-19-008679
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190319
FILED AS OF DATE: 20190321
DATE AS OF CHANGE: 20190321
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sandoval Elisabeth
CENTRAL INDEX KEY: 0001632295
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38356
FILM NUMBER: 19697141
MAIL ADDRESS:
STREET 1: C/O KYTHERA BIOPHARMACEUTICALS, INC.
STREET 2: 30930 RUSSELL RANCH ROAD, 3RD FLOOR
CITY: WESTLAKE VILLAGE
STATE: CA
ZIP: 91362
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Menlo Therapeutics Inc.
CENTRAL INDEX KEY: 0001566044
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 453757789
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 200 CARDINAL WAY, 2ND FLOOR
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
BUSINESS PHONE: 650-486-1416
MAIL ADDRESS:
STREET 1: 200 CARDINAL WAY, 2ND FLOOR
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
FORMER COMPANY:
FORMER CONFORMED NAME: Menlo Therapeutics, Inc.
DATE OF NAME CHANGE: 20170728
FORMER COMPANY:
FORMER CONFORMED NAME: Tigercat Pharma, Inc.
DATE OF NAME CHANGE: 20130104
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-03-19
0
0001566044
Menlo Therapeutics Inc.
MNLO
0001632295
Sandoval Elisabeth
200 CARDINAL WAY, 2ND FLOOR
REDWOOD CITY
CA
94063
1
0
0
0
Stock Option
8.24
2019-03-19
4
A
0
33355
0.00
A
2029-03-19
Common Stock
33355
33355
D
The option will vest and become exercisable as to 1/3rd of the shares subject to the option on each annual anniversary of the date of appointment to the Board, subject to Ms. Sandoval's continued service to the Company through each applicable vesting date.
/s/ David Saul, as attorney-in-fact For: Elisabeth Sandoval
2019-03-21