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