0001570562-24-000108.txt : 20240703 0001570562-24-000108.hdr.sgml : 20240703 20240703202013 ACCESSION NUMBER: 0001570562-24-000108 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240701 FILED AS OF DATE: 20240703 DATE AS OF CHANGE: 20240703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: White Albert G III CENTRAL INDEX KEY: 0001357705 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38381 FILM NUMBER: 241101416 MAIL ADDRESS: STREET 1: 6790 STREET 2: SPRINGDALE COURT CITY: VICTOR STATE: NY ZIP: 14564 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Evolus, Inc. CENTRAL INDEX KEY: 0001570562 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] ORGANIZATION NAME: 03 Life Sciences IRS NUMBER: 461385614 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 520 NEWPORT CENTER DRIVE STREET 2: SUITE 1200 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: (949) 284-4555 MAIL ADDRESS: STREET 1: 520 NEWPORT CENTER DRIVE STREET 2: SUITE 1200 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 4 1 wk-form4_1720052407.xml FORM 4 X0508 4 2024-07-01 0 0001570562 Evolus, Inc. EOLS 0001357705 White Albert G III 520 NEWPORT CENTER DRIVE SUITE 1200 NEWPORT BEACH CA 92660 1 0 0 0 0 Common Stock 2024-07-01 4 A 0 23014 0 A 23014 D Represents shares issuable on settlement of restricted stock units ("RSUs") granted to the reporting person. Each RSU represents a contingent right to receive one share of the Issuer's common stock. The RSUs will vest over a period of two years, with 1/2 of the shares subject to the option vesting annually on the anniversary of July 1, 2024, provided the reporting person remains in continuous service before the vesting date, subject to accelerated vesting in certain events, including upon certain changes of control of the Issuer. /s/ Jeffrey J. Plumer, as attorney-in-fact for Albert G. White III 2024-07-03