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