0001493152-19-009703.txt : 20190625
0001493152-19-009703.hdr.sgml : 20190625
20190625170012
ACCESSION NUMBER: 0001493152-19-009703
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190624
FILED AS OF DATE: 20190625
DATE AS OF CHANGE: 20190625
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Drechsler Andrew T
CENTRAL INDEX KEY: 0001324734
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38552
FILM NUMBER: 19919215
MAIL ADDRESS:
STREET 1: 10 FINDERNE AVENUE
STREET 2: BUILDING 10
CITY: BRIDGEWATER
STATE: NJ
ZIP: 08807
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Provention Bio, Inc.
CENTRAL INDEX KEY: 0001695357
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: P.O. BOX 666
CITY: OLDWICK
STATE: NJ
ZIP: 08858
BUSINESS PHONE: 908-428-9136
MAIL ADDRESS:
STREET 1: P.O. BOX 666
CITY: OLDWICK
STATE: NJ
ZIP: 08858
FORMER COMPANY:
FORMER CONFORMED NAME: Provention Inc.
DATE OF NAME CHANGE: 20170120
4
1
ownership.xml
X0306
4
2019-06-24
0
0001695357
Provention Bio, Inc.
PRVB
0001324734
Drechsler Andrew T
C/O PROVENTION BIO, INC., P.O. BOX 666
OLDWICK,
NJ
08858
0
1
0
0
Chief Financial Officer
Option (right to buy)
12.54
2019-06-24
4
A
0
400000
0
A
2029-06-24
Common Stock, par value $0.0001
400000
400000
D
160,000 option shares vest in four equal annual installments commencing on June 24, 2020; the remaining 240,000 options shares vest upon completion of certain performance milestones. The completion of each milestone vests 20% of the total option shares.
The securities were granted pursuant to the Issuer's Amended and Restated 2017 Equity Incentive Plan.
/s/ Andrew Drechsler
2019-06-25