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