0001683168-21-001543.txt : 20210426
0001683168-21-001543.hdr.sgml : 20210426
20210426202516
ACCESSION NUMBER: 0001683168-21-001543
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210422
FILED AS OF DATE: 20210426
DATE AS OF CHANGE: 20210426
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gaeta Federico C.A.
CENTRAL INDEX KEY: 0001859057
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33185
FILM NUMBER: 21855547
MAIL ADDRESS:
STREET 1: 4275 EXECUTIVE SQUARE, SUITE 300
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
2021-04-22
0
0001226616
MEDICINOVA INC
MNOV
0001859057
Gaeta Federico C.A.
C/O MEDICINOVA, INC.
4275 EXECUTIVE SQUARE, SUITE 300
LA JOLLA
CA
92037
0
1
0
0
Chief Scientific Officer
Employee Stock Option (Right to Buy)
4.56
2021-04-22
4
A
0
24000
0
A
2031-04-22
Common Stock
24000
24000
D
The option vests in equal monthly installments over a period of three (3) years commencing April 22, 2021, subject to continued service with the Company.
/s/ Federico C.A. Gaeta
2021-04-26