0001562180-16-003000.txt : 20160816 0001562180-16-003000.hdr.sgml : 20160816 20160816161405 ACCESSION NUMBER: 0001562180-16-003000 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160815 FILED AS OF DATE: 20160816 DATE AS OF CHANGE: 20160816 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: 161836167 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 2016-08-15 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 2016-08-15 4 M false 875.00 0.00 A 3109.00 D Common Stock 2016-08-15 4 F false 329.00 31.59 D 2780.00 D Common Stock 54478.00 I By the Bauer Family 1995 Trust Restricted Stock Unit 2016-08-15 4 M false 875.00 0.00 D Common Stock 875.00 7875.00 D These shares include prior ESPP purchases. The Reporting Person is a Co-Trustee. Each RSU represents a contingent right to receive one share of DERM common stock. Vested as to 10% of the shares on August 15, 2016, Will vest 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 as attorney-in-fact 2016-08-16