0001209191-16-116555.txt : 20160429 0001209191-16-116555.hdr.sgml : 20160429 20160429182308 ACCESSION NUMBER: 0001209191-16-116555 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160427 FILED AS OF DATE: 20160429 DATE AS OF CHANGE: 20160429 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: 161609024 MAIL ADDRESS: STREET 1: 10070 BARNES CANYON ROAD CITY: SAN DIEGO STATE: CA ZIP: 92121 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-04-27 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) 4.81 2016-04-27 4 A 0 19000 0.00 A 2026-04-26 Common Stock 19000 19000 D The total number of shares of common stock subject to the option vests on the one-year anniversary of the date of grant (4/27/2017), 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 2016-04-29