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