0000819050-21-000087.txt : 20210614
0000819050-21-000087.hdr.sgml : 20210614
20210614164436
ACCESSION NUMBER: 0000819050-21-000087
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210614
FILED AS OF DATE: 20210614
DATE AS OF CHANGE: 20210614
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SAMANT VIJAY B
CENTRAL INDEX KEY: 0001198238
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-21088
FILM NUMBER: 211015107
MAIL ADDRESS:
STREET 1: 10390 PACIFIC CENTER COURT
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Brickell Biotech, Inc.
CENTRAL INDEX KEY: 0000819050
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 930948554
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5777 CENTRAL AVENUE
STREET 2: SUITE 102
CITY: BOULDER
STATE: CO
ZIP: 80301
BUSINESS PHONE: (720) 505-4755
MAIL ADDRESS:
STREET 1: 5777 CENTRAL AVENUE
STREET 2: SUITE 102
CITY: BOULDER
STATE: CO
ZIP: 80301
FORMER COMPANY:
FORMER CONFORMED NAME: VICAL INC
DATE OF NAME CHANGE: 19940211
4
1
wf-form4_162370346407607.xml
FORM 4
X0306
4
2021-06-14
0
0000819050
Brickell Biotech, Inc.
BBI
0001198238
SAMANT VIJAY B
C/O BRICKELL BIOTECH, INC.
5777 CENTRAL AVENUE, SUITE 102
BOULDER
CO
80301
1
0
0
0
Stock Option (right to buy)
0.9
2021-06-14
4
A
0
40000
0
A
2022-06-14
2031-06-14
Common Stock
40000.0
40000
D
/s/ Christine G. Long, Attorney-in-Fact for Vijay B. Samant (power of attorney previously filed)
2021-06-14