0001062993-20-003643.txt : 20200804 0001062993-20-003643.hdr.sgml : 20200804 20200804164211 ACCESSION NUMBER: 0001062993-20-003643 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200731 FILED AS OF DATE: 20200804 DATE AS OF CHANGE: 20200804 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: 201073883 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 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0306 4 2020-07-31 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 Common Stock 2020-07-31 4 M 0 608 A 19327 D Common Stock 2020-07-31 4 F 0 256 .92 D 19071 D Restricted Stock Units 2020-07-31 4 M 0 608 0 D Common Stock 608 609 D Restricted stock units ("RSUs") converted into common stock on a one-for-one basis. Represents shares withheld to satisfy tax withholding obligations upon the vesting of RSUs. These RSUs were granted on February 14, 2020 and vest in installments through August 31, 2020. /s/ Christine G. Long, Attorney-in-Fact for Vijay B. Samant (power of attorney previously filed) 2020-08-04