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