0001562180-16-001564.txt : 20160209
0001562180-16-001564.hdr.sgml : 20160209
20160209183540
ACCESSION NUMBER: 0001562180-16-001564
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160205
FILED AS OF DATE: 20160209
DATE AS OF CHANGE: 20160209
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Dermira, Inc.
CENTRAL INDEX KEY: 0001557883
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 273267680
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 275 MIDDLEFIELD ROAD
STREET 2: SUITE 150
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650 421 7200
MAIL ADDRESS:
STREET 1: 275 MIDDLEFIELD ROAD
STREET 2: SUITE 150
CITY: MENLO PARK
STATE: CA
ZIP: 94025
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: 001-36668
FILM NUMBER: 161401544
MAIL ADDRESS:
STREET 1: C/O DERMIRA, INC.
STREET 2: 275 MIDDLEFIELD ROAD, SUITE 150
CITY: MENLO PARK
STATE: CA
ZIP: 94025
4
1
primarydocument.xml
PRIMARY DOCUMENT
X0306
4
2016-02-05
false
0001557883
Dermira, Inc.
DERM
0001210524
BAUER EUGENE A
C/O DERMIRA, INC.
275 MIDDLEFIELD ROAD, SUITE 150
MENLO PARK
CA
94025
true
true
false
false
Chief Medical Officer
Common Stock
1531.00
D
Common Stock
69478.00
I
Bauer Family 1995 Trust
Employee Stock Options (Right to buy)
26.37
2016-02-05
4
A
false
52500.00
0.00
A
2026-02-04
Common Stock
52500.00
52500.00
D
Restricted Stock Unit
2016-02-05
4
A
false
8750.00
0.00
A
Common Stock
8750.00
8750.00
D
These shares represent prior ESPP purchases.
The Reporting Person is a Co-Trustee.
The stock option vests and becomes exercisable as to 1/48th of the shares in equal monthly installments with the first 1/48th of the shares vesting on February 1, 2016, subject to the continuing employment of the Reporting person on the applicable vesting date.
Each RSU represents a contingent right to receive one share of DERM common stock.
Vests as to 10% of the shares on August 15, 2016, 30% on August 15, 2017, 30% on August 15, 2018, 30% on August 15,2019, subject to the continuing employment of the Reporting Person on each vesting date.
/s/ Christine Ring, by power of attorney
2016-02-09