0000904454-15-000791.txt : 20151218 0000904454-15-000791.hdr.sgml : 20151218 20151218143818 ACCESSION NUMBER: 0000904454-15-000791 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150101 FILED AS OF DATE: 20151218 DATE AS OF CHANGE: 20151218 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Evoke Pharma Inc CENTRAL INDEX KEY: 0001403708 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 208447886 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 505 LOMAS SANTA FE DRIVE STREET 2: SUITE 270 CITY: SOLANA BEACH STATE: CA ZIP: 92075 BUSINESS PHONE: 858-345-1494 MAIL ADDRESS: STREET 1: 505 LOMAS SANTA FE DRIVE STREET 2: SUITE 270 CITY: SOLANA BEACH STATE: CA ZIP: 92075 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shah Nimesh CENTRAL INDEX KEY: 0001660394 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36075 FILM NUMBER: 151296473 MAIL ADDRESS: STREET 1: 12481 HIGH BLUFF DRIVE, SUITE 150 CITY: SAN DIEGO STATE: CA ZIP: 92130 3 1 edgar.xml PRIMARY DOCUMENT X0206 3 2015-01-01 0 0001403708 Evoke Pharma Inc EVOK 0001660394 Shah Nimesh C/O DOMAIN ASSOCIATES, LLC ONE PALMER SQUARE PRINCETON NJ 08542 0 0 1 0 Common Stock 5250 I By Domain Associates, LLC Number of shares held by Domain Associates, LLC as of the date of the filing of this Form 3. The Reporting Person is a Managing Member of Domain Associates, LLC. Pursuant to Instruction (5)(b)(iv) of Form 3, the Reporting Person has elected to report as indirectly beneficially owned the entire number of securities beneficially owned by such entity. The Reporting Person disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed his or her pecuniary interest therein and/or that are not actually distributed to him or her. /s/ Lisa A. Kraeutler, Attorney-in-Fact 2015-12-18