0001144204-16-095044.txt : 20160419 0001144204-16-095044.hdr.sgml : 20160419 20160419160634 ACCESSION NUMBER: 0001144204-16-095044 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160415 FILED AS OF DATE: 20160419 DATE AS OF CHANGE: 20160419 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MEDGENICS, INC. CENTRAL INDEX KEY: 0001138776 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 980217544 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: C/O MEDGENICS, INC. STREET 2: 435 DEVON PARK DRIVE, BLDG 700 CITY: WAYNE STATE: PA ZIP: 19087 BUSINESS PHONE: 610-254-4201 MAIL ADDRESS: STREET 1: C/O MEDGENICS, INC. STREET 2: 435 DEVON PARK DRIVE, BLDG 700 CITY: WAYNE STATE: PA ZIP: 19087 FORMER COMPANY: FORMER CONFORMED NAME: MEDGENICS INC DATE OF NAME CHANGE: 20010419 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAUER EUGENE A CENTRAL INDEX KEY: 0001210524 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35112 FILM NUMBER: 161579194 MAIL ADDRESS: STREET 1: C/O DERMIRA, INC. STREET 2: 275 MIDDLEFIELD ROAD, SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 v437278_4.xml OWNERSHIP DOCUMENT X0306 4 2016-04-15 0 0001138776 MEDGENICS, INC. MDGN 0001210524 BAUER EUGENE A C/O MEDGENICS, INC. 435 DEVON PARK DRIVE BLDG 700 WAYNE PA 19087 1 0 0 0 Option Award (right to buy) 4.83 2016-04-15 4 A 0 20000 0 A 2017-04-15 2026-04-15 Common Stock 20000 20000 D /s/ Scott Applebaum, by power of attorney 2016-04-18