0001570562-18-000065.txt : 20180620
0001570562-18-000065.hdr.sgml : 20180620
20180620204330
ACCESSION NUMBER: 0001570562-18-000065
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180618
FILED AS OF DATE: 20180620
DATE AS OF CHANGE: 20180620
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jafar Michael M.
CENTRAL INDEX KEY: 0001744242
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38381
FILM NUMBER: 18910723
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
3
1
wf-form3_152954179208317.xml
FORM 3
X0206
3
2018-06-18
0
0001570562
Evolus, Inc.
EOLS
0001744242
Jafar Michael M.
17901 VON KARMAN AVE, SUITE 150
IRVINE
CA
92614
0
1
0
0
Chief Marketing Officer
Common Stock
200
D
/s/ Jeffrey J. Plumer, as attorney-in-fact for Michael M. Jafar
2018-06-20