0001493152-20-017180.txt : 20200902
0001493152-20-017180.hdr.sgml : 20200902
20200902194311
ACCESSION NUMBER: 0001493152-20-017180
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200902
FILED AS OF DATE: 20200902
DATE AS OF CHANGE: 20200902
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ramos Eleanor
CENTRAL INDEX KEY: 0001464907
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38552
FILM NUMBER: 201158044
MAIL ADDRESS:
STREET 1: ZYMOGENETICS, INC.
STREET 2: 1201 EASTLAKE AVENUE E
CITY: SEATTLE
STATE: WA
ZIP: 98102
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: 55 BROAD STREET, 2ND FLOOR
CITY: RED BANK
STATE: NJ
ZIP: 07701
BUSINESS PHONE: 908-428-9136
MAIL ADDRESS:
STREET 1: 55 BROAD STREET, 2ND FLOOR
CITY: RED BANK
STATE: NJ
ZIP: 07701
FORMER COMPANY:
FORMER CONFORMED NAME: Provention Inc.
DATE OF NAME CHANGE: 20170120
4
1
ownership.xml
X0306
4
2020-09-02
0
0001695357
Provention Bio, Inc.
PRVB
0001464907
Ramos Eleanor
C/O PROVENTION BIO, INC.,
55 BROAD STREET, 2ND FLOOR
RED BANK
NJ
07701
0
1
0
0
Chief Medical Officer
Common Stock
2020-09-02
4
P
0
299
12.06
A
64799
D
/s/ Andrew Drechsler, as attorney-in-fact
2020-09-02