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