0001209191-18-020025.txt : 20180315
0001209191-18-020025.hdr.sgml : 20180315
20180315201413
ACCESSION NUMBER: 0001209191-18-020025
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180313
FILED AS OF DATE: 20180315
DATE AS OF CHANGE: 20180315
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tamura Toshinari
CENTRAL INDEX KEY: 0001621329
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36740
FILM NUMBER: 18693943
MAIL ADDRESS:
STREET 1: C/O FIBROGEN, INC.
STREET 2: 409 ILLINOIS ST.,
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94158
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FIBROGEN INC
CENTRAL INDEX KEY: 0000921299
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 409 ILLINOIS STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94158
BUSINESS PHONE: 415-978-1200
MAIL ADDRESS:
STREET 1: 409 ILLINOIS STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94158
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-03-13
0
0000921299
FIBROGEN INC
FGEN
0001621329
Tamura Toshinari
C/O FIBROGEN, INC.
409 ILLINOIS ST.
SAN FRANCISCO
CA
94158
1
0
0
0
Common Stock
2018-03-13
4
M
0
12000
18.00
A
60000
D
Common Stock
2018-03-13
4
M
0
12000
18.34
A
72000
D
Common Stock
2018-03-13
4
S
0
14156
53.26
D
57844
D
Common Stock
2018-03-13
4
S
0
9844
53.53
D
48000
D
Stock Option (Right to Buy)
18.00
2018-03-13
4
M
0
12000
0.00
D
2024-11-13
Common Stock
12000
0
D
Stock Option (Right to Buy)
18.34
2018-03-13
4
M
0
12000
0.00
D
2025-06-03
Common Stock
12000
0
D
Fully vested.
/s/ Michael Lowenstein, Attorney-in-fact
2018-03-15