0001683168-21-002130.txt : 20210520 0001683168-21-002130.hdr.sgml : 20210520 20210520172611 ACCESSION NUMBER: 0001683168-21-002130 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210519 FILED AS OF DATE: 20210520 DATE AS OF CHANGE: 20210520 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OBrien Geoffrey CENTRAL INDEX KEY: 0001589471 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33185 FILM NUMBER: 21945571 MAIL ADDRESS: STREET 1: 4275 EXECUTIVE SQUARE STREET 2: 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 2021-05-19 0 0001226616 MEDICINOVA INC MNOV 0001589471 OBrien Geoffrey C/O MEDICINOVA, INC. 4275 EXECUTIVE SQUARE, SUITE 300 LA JOLLA CA 92037 0 1 0 0 Vice President Common Stock 2021-05-19 4 M 0 32000 2.54 A 37000 D Common Stock 2021-05-19 4 M 0 11318 2.46 A 48318 D Employee Stock Option (Right to Buy) 2.54 2021-05-19 4 M 0 32000 0 D 2021-07-12 Common Stock 32000 0 D Employee Stock Option (Right to Buy) 2.46 2021-05-19 4 M 0 11318 0 D 2021-08-02 Common Stock 11318 14932 D The option vested over a period of 4 years in equal monthly installments from the 7/13/2011 date of grant and is now fully vested. The option was granted on 8/3/2011, was subject to vesting based on achievement of performance criteria and vested in full on 6/14/2012. /s/ Geoffrey O'Brien 2021-05-20