0001209191-20-044549.txt : 20200803 0001209191-20-044549.hdr.sgml : 20200803 20200803183552 ACCESSION NUMBER: 0001209191-20-044549 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200801 FILED AS OF DATE: 20200803 DATE AS OF CHANGE: 20200803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Goldenberg Gary CENTRAL INDEX KEY: 0001741938 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38529 FILM NUMBER: 201070542 MAIL ADDRESS: STREET 1: C/O VERRICA PHARMACEUTICALS INC. STREET 2: 10 NORTH HIGH STREET, SUITE 200 CITY: WEST CHESTER STATE: PA ZIP: 19380 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Verrica Pharmaceuticals Inc. CENTRAL INDEX KEY: 0001660334 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 463137900 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10 NORTH HIGH STREET STREET 2: SUITE 200 CITY: WEST CHESTER STATE: PA ZIP: 19380 BUSINESS PHONE: 484-453-3300 MAIL ADDRESS: STREET 1: 10 NORTH HIGH STREET STREET 2: SUITE 200 CITY: WEST CHESTER STATE: PA ZIP: 19380 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-08-01 0 0001660334 Verrica Pharmaceuticals Inc. VRCA 0001741938 Goldenberg Gary C/O VERRICA PHARMACEUTICALS INC. 10 NORTH HIGH STREET, SUITE 200 WEST CHESTER PA 19380 0 1 0 0 Chief Medical Officer Employee Stock Option (right to buy) 6.56 2020-08-01 4 A 0 250000 0.00 A 2030-08-01 Common Stock 250000 250000 D 25% of shares subject to the option shall vest on August 1, 2021 (the "Initial Vesting Date"), and 1/48th of the shares subject to the Option shall vest each month thereafter, subject to the Reporting Person's continuous service with the Issuer as of the applicable vesting date. /s/ Mark Ballantyne, Attorney-in-Fact 2020-08-03