0001570562-23-000094.txt : 20230815 0001570562-23-000094.hdr.sgml : 20230815 20230815163415 ACCESSION NUMBER: 0001570562-23-000094 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230811 FILED AS OF DATE: 20230815 DATE AS OF CHANGE: 20230815 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Malik Vikram CENTRAL INDEX KEY: 0001730123 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38381 FILM NUMBER: 231175361 MAIL ADDRESS: STREET 1: 17901 VON KARMAN AVENUE, SUITE 150 CITY: IRVINE STATE: CA ZIP: 92614 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 wk-form4_1692131636.xml FORM 4 X0508 4 2023-08-11 0 0001570562 Evolus, Inc. EOLS 0001730123 Malik Vikram 520 NEWPORT CENTER DR. SUITE 1200 NEWPORT BEACH CA 92660 1 0 0 0 0 Common Stock 2023-08-11 4 J 0 22998 0 A 100583 D Common Stock 2023-08-15 4 P 0 174967 7.41 A 275550 D Pro rata distribution from Alphaeon 1, LLC of which the reporting person is a non-managing member. Represents the private transfer of shares of common stock of the issuer from Strathspey Crown Holdings Group, LLC ("SCH") to the reporting person, who elected to receive payment of certain outstanding fees from SCH in the form of shares of common stock of the issuer held by SCH rather than cash. /s/ Jeffrey J. Plumer, as attorney-in-fact for Vikram Malik 2023-08-15