0001209191-21-054735.txt : 20210903 0001209191-21-054735.hdr.sgml : 20210903 20210903160649 ACCESSION NUMBER: 0001209191-21-054735 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210902 FILED AS OF DATE: 20210903 DATE AS OF CHANGE: 20210903 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Satz Brian CENTRAL INDEX KEY: 0001810102 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36003 FILM NUMBER: 211236528 MAIL ADDRESS: STREET 1: C/O HISTOGEN INC. STREET 2: 10655 SORRENTO VALLEY ROAD, SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Histogen Inc. CENTRAL INDEX KEY: 0001383701 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 203183915 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10655 SORRENTO VALLEY ROAD STREET 2: SUITE 200 CITY: San Diego STATE: CA ZIP: 92121 BUSINESS PHONE: (858) 526-3100 MAIL ADDRESS: STREET 1: 10655 SORRENTO VALLEY ROAD STREET 2: SUITE 200 CITY: San Diego STATE: CA ZIP: 92121 FORMER COMPANY: FORMER CONFORMED NAME: Conatus Pharmaceuticals Inc. DATE OF NAME CHANGE: 20140729 FORMER COMPANY: FORMER CONFORMED NAME: Conatus Pharmaceuticals Inc DATE OF NAME CHANGE: 20061214 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-09-02 0 0001383701 Histogen Inc. HSTO 0001810102 Satz Brian C/O HISTOGEN INC. 10655 SORRENTO VALLEY ROAD, SUITE 200 SAN DIEGO CA 92121 1 0 0 0 Stock Option (right to buy) 0.822 2021-09-02 4 A 0 20000 0.00 A 2031-09-02 Common Stock 20000 20000 D This option was issued to the Reporting Person, a non-employee director of the Issuer, for his service as a director of the Issuer. The shares subject to this option become fully vested and exercisable on 5/26/2022, subject to the Reporting Person's continued service on the board of directors of the Issuer through such vesting date. /s/ Richard W. Pascoe as attorney-in-fact for Brian Satz 2021-09-03