0001415889-24-007451.txt : 20240308 0001415889-24-007451.hdr.sgml : 20240308 20240308191701 ACCESSION NUMBER: 0001415889-24-007451 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240306 FILED AS OF DATE: 20240308 DATE AS OF CHANGE: 20240308 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chung Christine CENTRAL INDEX KEY: 0001775295 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36740 FILM NUMBER: 24736180 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] ORGANIZATION NAME: 03 Life Sciences 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 form4-03092024_120348.xml X0508 4 2024-03-06 0000921299 FIBROGEN INC FGEN 0001775295 Chung Christine C/O FIBROGEN, INC. 409 ILLINOIS ST. SAN FRANCISCO CA 94158 false true false false SVP, CHINA OPERATIONS 0 Common Stock 2024-03-06 4 F 0 23168 1.87 D 340669 D Common Stock 2024-03-06 4 A 0 781 0 A 341450 D Common Stock 2024-03-06 4 F 0 422 1.87 D 341028 D Represents shares withheld by the issuer to satisfy a tax obligation realized by the reporting person upon the vesting of restricted stock units. Represents the number of shares released for PSU Milestone Grant vested on March 6, 2024. Represents the number of shares withheld by the issuer to cover the tax obligation realized upon the vesting of PSU Milestone grant. /s/ Michael Hom, Attorney-in-Fact 2024-03-08