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