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