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