0001140361-17-033129.txt : 20170823 0001140361-17-033129.hdr.sgml : 20170823 20170823192737 ACCESSION NUMBER: 0001140361-17-033129 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170823 FILED AS OF DATE: 20170823 DATE AS OF CHANGE: 20170823 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STAPLE PETER D CENTRAL INDEX KEY: 0001271088 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36375 FILM NUMBER: 171047998 MAIL ADDRESS: STREET 1: 863 C MITTEN ROAD CITY: BURLINGAME STATE: CA ZIP: 94010 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Corium International, Inc. CENTRAL INDEX KEY: 0001594337 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 383230774 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 235 CONSTITUTION DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-298-8012 MAIL ADDRESS: STREET 1: 235 CONSTITUTION DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 doc1.xml FORM 4 X0306 4 2017-08-23 0 0001594337 Corium International, Inc. CORI 0001271088 STAPLE PETER D C/O CORIUM INTERNATIONAL, INC. 235 CONSTITUTION DRIVE MENLO PARK CA 94025 1 1 0 0 President & CEO Common Stock 2017-08-23 4 M 0 50000 2.121 A 146000 D Common Stock 34878 I By The Staple Family 2006 Trust Employee Stock Option (Right to Buy) 2.121 2017-08-23 4 M 0 50000 0 D 2018-08-25 Common Stock 50000 214316 D Includes 1,000 shares acquired under the Issuer's employee stock purchase plan on May 19, 2017. This option is fully vested. /s/Christina Dickerson, Attorney-in-Fact 2017-08-23