0001400482-16-000250.txt : 20161102
0001400482-16-000250.hdr.sgml : 20161102
20161102165651
ACCESSION NUMBER: 0001400482-16-000250
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161101
FILED AS OF DATE: 20161102
DATE AS OF CHANGE: 20161102
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: 161968767
MAIL ADDRESS:
STREET 1: 2525 DUPONT DRIVE
CITY: IRVINE
STATE: CA
ZIP: 92715
4
1
wf-form4_147812019776749.xml
FORM 4
X0306
4
2016-11-01
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
2016-11-01
4
F
0
1035
9.54
D
78274
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
2016-11-02