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