0001570562-23-000090.txt : 20230815
0001570562-23-000090.hdr.sgml : 20230815
20230815163205
ACCESSION NUMBER: 0001570562-23-000090
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230811
FILED AS OF DATE: 20230815
DATE AS OF CHANGE: 20230815
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HAYMAN ROBERT
CENTRAL INDEX KEY: 0001269349
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38381
FILM NUMBER: 231175326
MAIL ADDRESS:
STREET 1: 8550 HIGUERA ST
CITY: CULVER CITY
STATE: CA
ZIP: 90232
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Evolus, Inc.
CENTRAL INDEX KEY: 0001570562
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 461385614
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 520 NEWPORT CENTER DRIVE
STREET 2: SUITE 1200
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
BUSINESS PHONE: (949) 284-4555
MAIL ADDRESS:
STREET 1: 520 NEWPORT CENTER DRIVE
STREET 2: SUITE 1200
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
4
1
wk-form4_1692131512.xml
FORM 4
X0508
4
2023-08-11
0
0001570562
Evolus, Inc.
EOLS
0001269349
HAYMAN ROBERT
520 NEWPORT CENTER DR.
SUITE 1200
NEWPORT BEACH
CA
92660
1
0
0
0
0
Common Stock
2023-08-11
4
J
0
218
0
A
48392
D
Common Stock
2023-08-11
4
J
0
366
0
A
10366
I
By trust
Pro rata distribution from Alphaeon 1, LLC of which the reporting person is a non-managing member.
/s/ Jeffrey J. Plumer, as attorney-in-fact for Robert Hayman
2023-08-15