0001683168-19-001890.txt : 20190613
0001683168-19-001890.hdr.sgml : 20190613
20190613170615
ACCESSION NUMBER: 0001683168-19-001890
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190612
FILED AS OF DATE: 20190613
DATE AS OF CHANGE: 20190613
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Matsuda Kazuko
CENTRAL INDEX KEY: 0001531140
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33185
FILM NUMBER: 19896787
MAIL ADDRESS:
STREET 1: C/O MEDICINOVA, INC.
STREET 2: 4275 EXECUTIVE SQUARE, SUITE 650
CITY: LA JOLLA
STATE: CA
ZIP: 92037
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 300
CITY: LA JOLLA
STATE: CA
ZIP: 92037
BUSINESS PHONE: 858-373-1500
MAIL ADDRESS:
STREET 1: 4275 EXECUTIVE SQUARE
STREET 2: SUITE 300
CITY: LA JOLLA
STATE: CA
ZIP: 92037
4
1
ownership.xml
X0306
4
2019-06-12
0
0001226616
MEDICINOVA INC
MNOV
0001531140
Matsuda Kazuko
C/O MEDICINOVA, INC.
4275 EXECUTIVE SQUARE, SUITE 300
LA JOLLA
CA
92037
0
1
0
0
Chief Medical Officer
Common Stock
2019-06-12
4
M
0
37000
4.80
A
109457
D
Employee Stock Option (Right to Buy)
4.80
2019-06-12
4
M
0
37000
0
A
2019-07-06
Common Stock
37000
0
D
Includes 10,454 shares acquired under MediciNova's employee stock purchase plan, which are exempt under Rule 16b-3(c).
The option vested over a period of 4 years in equal monthly installments from the 7/7/2009 date of grant and is now fully vested.
/s/ Yuichi Iwaki, attorney-in-fact
2019-06-13