0001209191-21-002361.txt : 20210106
0001209191-21-002361.hdr.sgml : 20210106
20210106190813
ACCESSION NUMBER: 0001209191-21-002361
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210104
FILED AS OF DATE: 20210106
DATE AS OF CHANGE: 20210106
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: 21512366
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
2021-01-04
0
0000921299
FIBROGEN INC
FGEN
0001420987
Schoeneck James A
C/O FIBROGEN, INC.
409 ILLINOIS ST.
SAN FRANCISCO
CA
94158
1
0
0
0
Common Stock
2021-01-04
4
M
0
6000
9.775
A
15400
D
Common Stock
65422
I
By Trust
Stock Option (Right to Buy)
9.775
2021-01-04
4
M
0
6000
0.00
D
2023-04-17
Common Stock
6000
0
D
Fully vested.
/s/ Dorothy Pacini, Attorney-in-Fact
2021-01-06