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