0001209191-20-038795.txt : 20200624 0001209191-20-038795.hdr.sgml : 20200624 20200624205126 ACCESSION NUMBER: 0001209191-20-038795 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200622 FILED AS OF DATE: 20200624 DATE AS OF CHANGE: 20200624 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wettig Thane CENTRAL INDEX KEY: 0001815638 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36740 FILM NUMBER: 20986867 MAIL ADDRESS: STREET 1: C/O FIBROGEN, INC. STREET 2: 409 ILLINOIS STREET 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 2020-06-22 0 0000921299 FIBROGEN INC FGEN 0001815638 Wettig Thane C/O FIBROGEN, INC. 409 ILLINOIS STREET SAN FRANCISCO CA 94158 0 1 0 0 Chief Commercial Officer Common Stock 2020-06-22 4 A 0 30000 0.00 A 30600 D Stock Option (Right to Buy) 42.08 2020-06-22 4 A 0 90000 0.00 A 2030-06-22 Common Stock 90000 90000 D Represents the grant of restricted stock units. Twenty-five percent of the restricted stock units vest on June 22, 2021, and the remainder vest in equal amounts quarterly thereafter for the following three years. Twenty-five percent of the shares subject to the option vest on June 22, 2021 and the remainder vest in equal amounts quarterly thereafter for the following three years. /s/ Dorothy Pacini, Attorney-in-fact 2020-06-24