0001214659-19-005759.txt : 20190909 0001214659-19-005759.hdr.sgml : 20190909 20190909204245 ACCESSION NUMBER: 0001214659-19-005759 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190831 FILED AS OF DATE: 20190909 DATE AS OF CHANGE: 20190909 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Breton Jose CENTRAL INDEX KEY: 0001784373 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21088 FILM NUMBER: 191084148 MAIL ADDRESS: STREET 1: 5777 CENTRAL AVENUE, SUITE 102 CITY: BOULDER STATE: CO ZIP: 80301 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Brickell Biotech, Inc. CENTRAL INDEX KEY: 0000819050 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 930948554 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5777 CENTRAL AVENUE STREET 2: SUITE 102 CITY: BOULDER STATE: CO ZIP: 80301 BUSINESS PHONE: (720) 505-4755 MAIL ADDRESS: STREET 1: 5777 CENTRAL AVENUE STREET 2: SUITE 102 CITY: BOULDER STATE: CO ZIP: 80301 FORMER COMPANY: FORMER CONFORMED NAME: VICAL INC DATE OF NAME CHANGE: 19940211 3 1 marketforms-45725.xml PRIMARY DOCUMENT X0206 3 2019-08-31 0 0000819050 Brickell Biotech, Inc. BBI 0001784373 Breton Jose C/O BRICKELL BIOTECH, INC. 5777 CENTRAL AVENUE, SUITE 102 BOULDER CO 80301 false true false false Chief Accounting Officer Common Stock 2169 D Stock Options 12.17 2015-09-22 2025-09-22 Common Stock 1726 D Stock Options 12.17 2015-04-22 2025-04-22 Common Stock 345 D Stock Options 12.17 2015-12-23 2025-12-23 Common Stock 1380 D Stock Options 12.17 2016-08-31 2026-08-31 Common Stock 863 D Stock Options 12.17 2016-12-15 2026-12-15 Common Stock 2589 D Stock Options 16.69 2018-12-15 2027-12-15 Common Stock 2589 D Stock Options 16.45 2019-12-15 2028-12-15 Common Stock 5178 D Stock Options 4.76 2020-08-30 2029-08-30 Common Stock 26721 D Warrants 10.36 2019-08-30 2029-08-30 Common Stock 995 D /s/ Jose Breton 2019-09-09