0001570562-18-000055.txt : 20180608 0001570562-18-000055.hdr.sgml : 20180608 20180608174926 ACCESSION NUMBER: 0001570562-18-000055 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180607 FILED AS OF DATE: 20180608 DATE AS OF CHANGE: 20180608 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Romine Kristine CENTRAL INDEX KEY: 0001730037 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38381 FILM NUMBER: 18890580 MAIL ADDRESS: STREET 1: 17901 VON KARMAN AVENUE, SUITE 150 CITY: IRVINE STATE: CA ZIP: 92614 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Evolus, Inc. CENTRAL INDEX KEY: 0001570562 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 461385614 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 17901 VON KARMAN AVENUE, SUITE 150 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: (949) 284-4555 MAIL ADDRESS: STREET 1: 17901 VON KARMAN AVENUE, SUITE 150 CITY: IRVINE STATE: CA ZIP: 92614 4 1 wf-form4_152849455074302.xml FORM 4 X0306 4 2018-06-07 0 0001570562 Evolus, Inc. EOLS 0001730037 Romine Kristine 17901 VON KARMAN AVENUE, SUITE 150 IRVINE CA 92614 1 0 0 0 Common Stock 2018-06-07 4 P 0 200 33.40 A 1200 I By son Common Stock 2018-06-08 4 P 0 2000 28.05 A 8000 D The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose Due to an inadvertent error, the number of shares owned by the Reporting Person's Son was overstated on a Form 4 filed on June 4, 2018 by 1,000 shares. The previous error has been corrected in the current filing. /s/ Jeffrey J. Plumer, as attorney-in-fact for Kristine Romine 2018-06-08