0001400482-16-000226.txt : 20160902 0001400482-16-000226.hdr.sgml : 20160902 20160902153858 ACCESSION NUMBER: 0001400482-16-000226 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160901 FILED AS OF DATE: 20160902 DATE AS OF CHANGE: 20160902 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ACUCELA INC. CENTRAL INDEX KEY: 0001400482 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 020592619 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1301 SECOND AVE. STREET 2: SUITE 4200 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: 206-805-8300 MAIL ADDRESS: STREET 1: 1301 SECOND AVE. STREET 2: SUITE 4200 CITY: SEATTLE STATE: WA ZIP: 98101 FORMER COMPANY: FORMER CONFORMED NAME: Acucela Inc DATE OF NAME CHANGE: 20070523 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DANSE EDWARD H CENTRAL INDEX KEY: 0001016353 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55133 FILM NUMBER: 161868545 MAIL ADDRESS: STREET 1: 2525 DUPONT DRIVE CITY: IRVINE STATE: CA ZIP: 92715 4 1 wf-form4_147284512623764.xml FORM 4 X0306 4 2016-09-01 0 0001400482 ACUCELA INC. M?????? 0001016353 DANSE EDWARD H C/O ACUCELA INC. 1301 2ND AVE., SUITE 4200 SEATTLE WA 98101 0 1 0 0 Chief Business Officer Common Stock 2016-09-01 4 F 0 1035 9.84 D 80344 D The issuer's common stock trades on the Tokyo Stock Exchange under the symbol referenced in the issuer's registration statement on Form S-1 (File No. 333-192900). The reported shares were withheld to cover the reporting person's tax liability in connection with the vesting of restricted stock. These shares were not sold by the reporting person. /s/ John Gebhart as attorney-in-fact for Edward Danse 2016-09-02