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