0000899243-16-030267.txt : 20160928
0000899243-16-030267.hdr.sgml : 20160928
20160928183315
ACCESSION NUMBER: 0000899243-16-030267
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160926
FILED AS OF DATE: 20160928
DATE AS OF CHANGE: 20160928
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Novan, Inc.
CENTRAL INDEX KEY: 0001467154
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 204427682
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4222 EMPEROR BLVD
STREET 2: SUITE 470
CITY: DURHAM
STATE: NC
ZIP: 27703
BUSINESS PHONE: 919-485-8080
MAIL ADDRESS:
STREET 1: 4222 EMPEROR BLVD
STREET 2: SUITE 470
CITY: DURHAM
STATE: NC
ZIP: 27703
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Geer W Kent
CENTRAL INDEX KEY: 0001551007
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37880
FILM NUMBER: 161907999
MAIL ADDRESS:
STREET 1: 7104 RAINWATER ROAD
CITY: RALEIGH
STATE: NC
ZIP: 27615
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-09-26
0
0001467154
Novan, Inc.
NOVN
0001551007
Geer W Kent
C/O NOVAN, INC.
4222 EMPEROR BOULEVARD, SUITE 200
DURHAM
NC
27703
1
0
0
0
Common Stock
2016-09-26
4
C
0
6078
0.00
A
10828
D
Mezzanine A Stock
2016-09-26
4
C
0
6078
0.00
D
Common Stock
6078
0
D
The preferred stock automatically converted into common stock on a 1-to-1 basis upon the closing of the Issuer's initial public offering.
/s/ Richard Peterson, Attorney-in-Fact
2016-09-28