0001415889-24-013834.txt : 20240520
0001415889-24-013834.hdr.sgml : 20240520
20240520194702
ACCESSION NUMBER: 0001415889-24-013834
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240517
FILED AS OF DATE: 20240520
DATE AS OF CHANGE: 20240520
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Geffken Daniel E.
CENTRAL INDEX KEY: 0001314756
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39538
FILM NUMBER: 24966539
MAIL ADDRESS:
STREET 1: DAMONMILL SQUARE
STREET 2: SUITE 6A
CITY: CONCORD
STATE: MA
ZIP: 01742
FORMER NAME:
FORMER CONFORMED NAME: GEFFKEN DANIEL E
DATE OF NAME CHANGE: 20050119
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CalciMedica, Inc.
CENTRAL INDEX KEY: 0001534133
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
ORGANIZATION NAME: 03 Life Sciences
IRS NUMBER: 452120079
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 505 COAST BOULEVARD SOUTH
STREET 2: SUITE 307
CITY: LA JOLLA
STATE: CA
ZIP: 92037
BUSINESS PHONE: 858-952-5500
MAIL ADDRESS:
STREET 1: 505 COAST BOULEVARD SOUTH
STREET 2: SUITE 307
CITY: LA JOLLA
STATE: CA
ZIP: 92037
FORMER COMPANY:
FORMER CONFORMED NAME: CalciMedica, Inc. /DE/
DATE OF NAME CHANGE: 20230322
FORMER COMPANY:
FORMER CONFORMED NAME: GRAYBUG VISION, INC.
DATE OF NAME CHANGE: 20170717
FORMER COMPANY:
FORMER CONFORMED NAME: GRAYBUG, Inc.
DATE OF NAME CHANGE: 20150303
4
1
form4-05202024_110554.xml
X0508
4
2024-05-17
0001534133
CalciMedica, Inc.
CALC
0001314756
Geffken Daniel E.
C/O CALCIMEDICA, INC.
505 COAST S. BLVD. #202
LA JOLLA
CA
92037
false
true
false
false
Interim CFO
0
Warrant
5.45
2024-05-17
4
A
0
10000
0
A
2034-05-16
Common Stock
10000
10000
I
By SG Dan Equity Holdings, LLC
Beginning on May 17, 2024, the shares subject to the warrant shall vest and be exercisable in a series of twelve (12) successive equal monthly installments.
/s/ John Dunn, Esq., Attorney-in-Fact
2024-05-20