0001209191-15-035935.txt : 20150424
0001209191-15-035935.hdr.sgml : 20150424
20150424142122
ACCESSION NUMBER: 0001209191-15-035935
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150422
FILED AS OF DATE: 20150424
DATE AS OF CHANGE: 20150424
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Evoke Pharma Inc
CENTRAL INDEX KEY: 0001403708
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 208447886
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 505 LOMAS SANTA FE DRIVE
STREET 2: SUITE 270
CITY: SOLANA BEACH
STATE: CA
ZIP: 92075
BUSINESS PHONE: 858-345-1494
MAIL ADDRESS:
STREET 1: 505 LOMAS SANTA FE DRIVE
STREET 2: SUITE 270
CITY: SOLANA BEACH
STATE: CA
ZIP: 92075
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WIDDER KENNETH J
CENTRAL INDEX KEY: 0001065168
STANDARD INDUSTRIAL CLASSIFICATION: IN VITRO & IN VIVO DIAGNOSTIC SUBSTANCES [2835]
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36075
FILM NUMBER: 15791303
MAIL ADDRESS:
STREET 1: 10070 BARNES CANYON ROAD
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-04-22
0
0001403708
Evoke Pharma Inc
EVOK
0001065168
WIDDER KENNETH J
C/O EVOKE PHARMA, INC.
505 LOMAS SANTA FE DRIVE, SUITE 270
SOLANA BEACH
CA
92075
1
0
1
0
Stock Option (Right to Buy)
6.43
2015-04-22
4
A
0
9000
0.00
A
2025-04-21
Common Stock
9000
9000
D
The total number of shares of common stock subject to the option vests on the one-year anniversary of the date of grant (4/22/2016), subject to the reporting person's continued service to the Issuer through such vesting date.
/s/ Matthew J. D'Onofrio, Attorney-in-fact for Kenneth J. Widder
2015-04-24