0001387131-21-008879.txt : 20210823
0001387131-21-008879.hdr.sgml : 20210823
20210823162612
ACCESSION NUMBER: 0001387131-21-008879
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210819
FILED AS OF DATE: 20210823
DATE AS OF CHANGE: 20210823
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Medytox Inc.
CENTRAL INDEX KEY: 0001848514
STATE OF INCORPORATION: M5
FISCAL YEAR END: 1220
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38381
FILM NUMBER: 211197248
BUSINESS ADDRESS:
STREET 1: 78, GANGNI 1-GIL, OCHANG-EUP,
STREET 2: CHEONGWON-GU
CITY: CHEOGJU-SI
STATE: M5
ZIP: 28126
BUSINESS PHONE: 82-2-3471-8319
MAIL ADDRESS:
STREET 1: 78, GANGNI 1-GIL, OCHANG-EUP,
STREET 2: CHEONGWON-GU
CITY: CHEOGJU-SI
STATE: M5
ZIP: 28126
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Evolus, Inc.
CENTRAL INDEX KEY: 0001570562
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 461385614
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 520 NEWPORT CENTER DRIVE
STREET 2: SUITE 1200
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
BUSINESS PHONE: (949) 284-4555
MAIL ADDRESS:
STREET 1: 520 NEWPORT CENTER DRIVE
STREET 2: SUITE 1200
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
4
1
medytox-form4_081921.xml
X0306
4
2021-08-19
0
0001570562
Evolus, Inc.
EOLS
0001848514
Medytox Inc.
78, GANGNI 1-GIL, OCHANG-EUP,
CHEONGWON-GU
CHEONGJU-SI
M5
28126
KOREA, REPUBLIC OF
0
0
1
0
Common Stock, $0.00001 par value per share
2021-08-19
4
P
0
55000
10.5111
A
7112652
D
Common Stock, $0.00001 par value per share
2021-08-20
4
P
0
48000
10.5562
A
7160652
D
/s/ Minjung Choi, Senior Manager, on behalf of Medytox Inc.
2021-08-20