0001019687-16-004902.txt : 20160121
0001019687-16-004902.hdr.sgml : 20160121
20160121174634
ACCESSION NUMBER: 0001019687-16-004902
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160120
FILED AS OF DATE: 20160121
DATE AS OF CHANGE: 20160121
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: Okajima Masatsune
CENTRAL INDEX KEY: 0001374660
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33185
FILM NUMBER: 161354324
MAIL ADDRESS:
STREET 1: C/O MEDICINOVA, INC.
STREET 2: 4275 EXECUTIVE SQUARE, SUITE 650
CITY: LA JOLLA
STATE: CA
ZIP: 92037
4
1
okajima_f4.xml
OWNERSHIP DOCUMENT
X0306
4
2016-01-20
0
0001226616
MEDICINOVA INC
MNOV
0001374660
Okajima Masatsune
C/O MEDICINOVA, INC.
4275 EXECUTIVE SQUARE, SUITE 650
LA JOLLA
CA
92037
0
1
0
0
VP and Head of Japanese Office
Warrants (Right to Buy)
3.56
2016-01-20
4
P
0
8400
0
A
2011-03-29
2016-03-29
Common Stock
8400
8400
D
/s/ Yuichi Iwaki, attorney-in-fact
2016-01-20