0001104659-21-069977.txt : 20210520
0001104659-21-069977.hdr.sgml : 20210520
20210520170541
ACCESSION NUMBER: 0001104659-21-069977
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210518
FILED AS OF DATE: 20210520
DATE AS OF CHANGE: 20210520
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MICEK JOHN
CENTRAL INDEX KEY: 0001243187
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36714
FILM NUMBER: 21945324
MAIL ADDRESS:
STREET 1: 300 HAMILTON AVENUE, 4TH FLOOR
CITY: PALO ALTO
STATE: CA
ZIP: 94301
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Jaguar Health, Inc.
CENTRAL INDEX KEY: 0001585608
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 200 PINE STREET SUITE 400
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94104
BUSINESS PHONE: 415-371-8300
MAIL ADDRESS:
STREET 1: 200 PINE STREET SUITE 400
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94104
FORMER COMPANY:
FORMER CONFORMED NAME: Jaguar Animal Health, Inc.
DATE OF NAME CHANGE: 20130830
4
1
a4.xml
4
X0306
4
2021-05-18
0
0001585608
Jaguar Health, Inc.
JAGX
0001243187
MICEK JOHN
C/O JAGUAR HEALTH, INC.
200 PINE STREET, SUITE 400
SAN FRANCISCO
CA
94104
1
0
0
0
Stock option (right to buy)
1.24
2021-05-18
4
A
0
72750
0
A
2031-05-18
Common Stock
72750
72750
D
Restricted stock units
2021-05-18
4
A
0
36400
0
A
Common Stock
36400
36400
D
Granted pursuant to the issuer's 2014 Stock Incentive Plan.
The option and restricted stock unit grants were approved by the issuer's board of directors on May 18, 2021.
The options will vest in full on May 18, 2022, the first anniversary of the grant date, so long as the director continues to serve on the board of directors of the issuer.
Each restricted stock unit represents a contingent right to receive one share of the issuer's common stock.
The restricted stock units vest in full on May 18, 2022, the first anniversary of the grant date. Vested shares will be delivered to the reporting person on the vesting date provided in the grant notice.
/s/ John Micek
2021-05-19