0001019687-15-002697.txt : 20150713 0001019687-15-002697.hdr.sgml : 20150713 20150713145447 ACCESSION NUMBER: 0001019687-15-002697 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150709 FILED AS OF DATE: 20150713 DATE AS OF CHANGE: 20150713 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MEDICINOVA INC CENTRAL INDEX KEY: 0001226616 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 330927979 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4275 EXECUTIVE SQUARE STREET 2: SUITE 650 CITY: LA JOLLA STATE: CA ZIP: 92037 BUSINESS PHONE: 858-373-1500 MAIL ADDRESS: STREET 1: 4275 EXECUTIVE SQUARE STREET 2: SUITE 650 CITY: LA JOLLA STATE: CA ZIP: 92037 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ishizaka Yoshio CENTRAL INDEX KEY: 0001603893 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33185 FILM NUMBER: 15985386 MAIL ADDRESS: STREET 1: 4275 EXECUTIVE SQUARE STREET 2: SUITE 650 CITY: LA JOLLA STATE: CA ZIP: 92037 4 1 ishizaka_f4-071315.xml FORM 4 X0306 4 2015-07-09 0 0001226616 MEDICINOVA INC MNOV 0001603893 Ishizaka Yoshio C/O MEDICINOVA, INC. 4275 EXECUTIVE SQUARE, SUITE 650 LA JOLLA CA 92037 1 0 0 0 Stock Option (Right to Buy) 3.96 2015-07-09 4 A 0 20000 0 A 2025-07-08 Common Stock 20000 20000 D The option vests in four equal installments on September 30, 2015, December 31, 2015, March 31, 2016 and June 30, 2016. /s/ Yuichi Iwaki, attorney-in-fact 2015-07-13