0001214659-20-001605.txt : 20200219 0001214659-20-001605.hdr.sgml : 20200219 20200219170643 ACCESSION NUMBER: 0001214659-20-001605 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200214 FILED AS OF DATE: 20200219 DATE AS OF CHANGE: 20200219 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: 20630973 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 marketforms-47813.xml PRIMARY DOCUMENT X0306 4 2020-02-14 0000819050 Brickell Biotech, Inc. BBI 0001198238 SAMANT VIJAY B C/O BRICKELL BIOTECH, INC. 5777 CENTRAL AVENUE, SUITE 102 BOULDER CO 80301 true false false false Nonstatutory Stock Option (right to buy) 1.81 2018-06-18 2028-01-07 Common Stock 105000 105000 D Restricted Stock Units 1.16 2020-02-14 4 A false 2167 1.16 A 2020-02-14 2030-02-13 Common Stock 2167 2167 D Stock Options 1.16 2020-02-14 4 A false 7328 1.16 A 2020-02-14 2030-02-13 Common Stock 7328 7328 D /s/ Vijay B. Samant 2020-02-19