0001467154-20-000029.txt : 20200305
0001467154-20-000029.hdr.sgml : 20200305
20200305161636
ACCESSION NUMBER: 0001467154-20-000029
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200303
FILED AS OF DATE: 20200305
DATE AS OF CHANGE: 20200305
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PALMOUR JOHN W
CENTRAL INDEX KEY: 0001182185
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37880
FILM NUMBER: 20691011
MAIL ADDRESS:
STREET 1: C/O CREE, INC.
STREET 2: 4600 SILICON DRIVE
CITY: DURHAM
STATE: NC
ZIP: 27703
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Novan, Inc.
CENTRAL INDEX KEY: 0001467154
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 204427682
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4105 HOPSON ROAD
CITY: MORRISVILLE
STATE: NC
ZIP: 27560
BUSINESS PHONE: 919-485-8080
MAIL ADDRESS:
STREET 1: 4105 HOPSON ROAD
CITY: MORRISVILLE
STATE: NC
ZIP: 27560
4
1
wf-form4_158344297884453.xml
FORM 4
X0306
4
2020-03-03
0
0001467154
Novan, Inc.
NOVN
0001182185
PALMOUR JOHN W
C/O NOVAN, INC.
4105 HOPSON ROAD
MORRISVILLE
NC
27560
1
0
0
0
Common Stock
2020-03-03
4
P
0
200000
A
493568
D
Common Stock
274875
I
By Palmour 2012 Irrevocable Children's Trust
Warrant (Right to Buy)
0.3
2020-03-03
4
P
0
200000
A
2025-03-03
Common Stock
200000.0
200000
D
The combined price for each share of common stock and the accompanying warrant (disclosed in Table II) was $0.30.
The warrants to purchase 200,000 shares of Common Stock of the Issuer may be exercised at any time prior to the expiration date.
The combined price for each share of common stock (disclosed in Table I) and the accompanying warrant was $0.30.
/s/ Andrew J. Novak, by power of attorney
2020-03-05