0001628280-15-007910.txt : 20151027 0001628280-15-007910.hdr.sgml : 20151027 20151027185736 ACCESSION NUMBER: 0001628280-15-007910 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151026 FILED AS OF DATE: 20151027 DATE AS OF CHANGE: 20151027 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VITAL THERAPIES INC CENTRAL INDEX KEY: 0001280776 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 15010 AVENUE OF SCIENCE STREET 2: STE. 200 CITY: SAN DIEGO STATE: CA ZIP: 92128 BUSINESS PHONE: 858-673-6840 MAIL ADDRESS: STREET 1: 15010 AVENUE OF SCIENCE STREET 2: STE. 200 CITY: SAN DIEGO STATE: CA ZIP: 92128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cohen Cheryl CENTRAL INDEX KEY: 0001529371 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36201 FILM NUMBER: 151178784 MAIL ADDRESS: STREET 1: C/O MEDIVATION, INC. STREET 2: 201 SPEAR ST., 3RD FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94105 4 1 wf-form4_144598664628410.xml FORM 4 X0306 4 2015-10-26 0 0001280776 VITAL THERAPIES INC VTL 0001529371 Cohen Cheryl C/O VITAL THERAPIES, INC. 15010 AVENUE OF SCIENCE, SUITE 200 SAN DIEGO CA 92128 1 0 0 0 Common Stock 2015-10-26 4 P 0 3500 7.1685 A 3500 I By Trust Shares held by Cheryl L. Cohen Trust U/A 04/01/05 Cheryl L. Cohen Trustee. /s/ Michael V. Swanson, as Attorney-in-Fact 2015-10-27