0001562180-19-000996.txt : 20190214 0001562180-19-000996.hdr.sgml : 20190214 20190214195729 ACCESSION NUMBER: 0001562180-19-000996 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190212 FILED AS OF DATE: 20190214 DATE AS OF CHANGE: 20190214 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: 19609394 MAIL ADDRESS: STREET 1: C/O DERMIRA, INC. STREET 2: 275 MIDDLEFIELD ROAD, SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 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 4 1 primarydocument.xml PRIMARY DOCUMENT X0306 4 2019-02-12 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 8900.00 D Common Stock 26978.00 I By the Bauer Family 1995 Trust Employee Stock Options (Right to buy) 7.42 2019-02-12 4 A false 65000.00 0.00 A 2029-02-11 Common Stock 65000.00 65000.00 D Restricted Stock Unit 2019-02-12 4 A false 15000.00 0.00 A Common Stock 15000.00 15000.00 D These shares include 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, 2019, 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 50% of the shares on March 5, 2020, 50% on March 5, 2021, subject to the continuing employment of the Reporting Person on each vesting date. /s/ Christine Ring as attorney-in-fact 2019-02-14