0001493152-23-001216.txt : 20230111
0001493152-23-001216.hdr.sgml : 20230111
20230111211717
ACCESSION NUMBER: 0001493152-23-001216
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230110
FILED AS OF DATE: 20230111
DATE AS OF CHANGE: 20230111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Vogel Justin
CENTRAL INDEX KEY: 0001590582
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38552
FILM NUMBER: 23524748
MAIL ADDRESS:
STREET 1: C/O PROVENTION BIO, INC.
STREET 2: 55 BROAD STREET
CITY: RED BANK
STATE: NJ
ZIP: 07701
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: 55 BROAD STREET, 2ND FLOOR
CITY: RED BANK
STATE: NJ
ZIP: 07701
BUSINESS PHONE: 908-428-9136
MAIL ADDRESS:
STREET 1: 55 BROAD STREET, 2ND FLOOR
CITY: RED BANK
STATE: NJ
ZIP: 07701
FORMER COMPANY:
FORMER CONFORMED NAME: Provention Inc.
DATE OF NAME CHANGE: 20170120
4
1
ownership.xml
X0306
4
2023-01-10
0
0001695357
Provention Bio, Inc.
PRVB
0001590582
Vogel Justin
C/O PROVENTION BIO, INC.
55 BROAD STREET, 2ND FLOOR
RED BANK
NJ
07701
0
1
0
0
Chief Accounting Officer
Stock Option (right to buy)
8.93
2023-01-10
4
A
0
84000
0
A
2033-01-10
Common Stock, par value $0.0001
84000
84000
D
The options will vest and become exercisable as to 25% on the one-year anniversary of the grant date (January 10, 2024) and the remaining 75% will vest and become exercisable monthly over 36 months such that the options are fully vested and exercisable on the four-year anniversary of the grant date (January 10, 2027).
The securities were granted pursuant to the Issuer's Amended and Restated 2017 Equity Incentive Plan.
/s/ Thierry Chauche, as attorney-in-fact
2023-01-11