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