0001209191-20-002653.txt : 20200108
0001209191-20-002653.hdr.sgml : 20200108
20200108211648
ACCESSION NUMBER: 0001209191-20-002653
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200106
FILED AS OF DATE: 20200108
DATE AS OF CHANGE: 20200108
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Schoeneck James A
CENTRAL INDEX KEY: 0001420987
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36740
FILM NUMBER: 20516926
MAIL ADDRESS:
STREET 1: C/O DEPOMED, INC.
STREET 2: 1360 O'BRIEN DRIVE
CITY: MENLO PARK
STATE: CA
ZIP: 94025
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
2020-01-06
0
0000921299
FIBROGEN INC
FGEN
0001420987
Schoeneck James A
C/O FIBROGEN, INC.
409 ILLINOIS ST.
SAN FRANCISCO
CA
94158
1
1
0
0
Interim President
Common Stock
2020-01-06
4
F
0
10928
43.35
D
22422
D
Represents shares withheld by the issuer to satisfy a tax obligation realized by the reporting person upon the vesting of restricted stock units.
Reflects the cancellation on January 6, 2020 of 28,650 shares pursuant to the vesting terms of the RSU grant.
/s/ Dorothy Pacini, Attorney-in-fact
2020-01-08