0001209191-17-014418.txt : 20170224
0001209191-17-014418.hdr.sgml : 20170224
20170224170716
ACCESSION NUMBER: 0001209191-17-014418
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170222
FILED AS OF DATE: 20170224
DATE AS OF CHANGE: 20170224
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: 420 STEVENS AVENUE
STREET 2: SUITE 370
CITY: SOLANA BEACH
STATE: CA
ZIP: 92075
BUSINESS PHONE: 858-345-1494
MAIL ADDRESS:
STREET 1: 420 STEVENS AVENUE
STREET 2: SUITE 370
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: 17638341
MAIL ADDRESS:
STREET 1: 10070 BARNES CANYON ROAD
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-02-22
0
0001403708
Evoke Pharma Inc
EVOK
0001065168
WIDDER KENNETH J
C/O EVOKE PHARMA, INC.
420 STEVENS AVENUE, SUITE 370
SOLANA BEACH
CA
92075
1
0
0
0
Common Stock
2017-02-22
4
P
0
418605
2.90
A
1472867
I
Directly owned by LVP III
Common Stock
2017-02-22
4
P
0
20930
2.90
A
73641
I
Directly owned by Associates
Common Stock
2017-02-22
4
P
0
10465
2.90
A
36821
I
Directly owned by Partners
Common Stock
5250
I
Directly owned by LVPMC
The reported securities are owned directly by each of LVPMC, LLC ("LVPMC"), LVP Life Science Ventures III, L.P. ("LVP III"), LVP III Associates, L.P. ("Associates") and LVP III Partners, L.P. ("Partners"). LVP GP III, LLC ("GP III") is the general partner of LVP III, Associates and Partners. The reporting person disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein.
/s/ Matthew J. D'Onofrio, Attorney-in-fact for Kenneth J. Widder
2017-02-24