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