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