0001214659-19-005761.txt : 20190909
0001214659-19-005761.hdr.sgml : 20190909
20190909204319
ACCESSION NUMBER: 0001214659-19-005761
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: Brown Robert Busard
CENTRAL INDEX KEY: 0001782344
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-21088
FILM NUMBER: 191084150
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-45728.xml
PRIMARY DOCUMENT
X0206
3
2019-08-31
0
0000819050
Brickell Biotech, Inc.
BBI
0001782344
Brown Robert Busard
C/O BRICKELL BIOTECH, INC.
5777 CENTRAL AVENUE, SUITE 102
BOULDER
CO
80301
false
true
false
false
Chief Executive Officer
Common Stock
64851
I
As Trustee of Trust A
Common Stock
64851
I
As Trustee of Trust B
Stock Options
16.45
2019-12-15
2028-12-15
Common Stock
70584
D
Stock Options
4.76
2020-08-30
2020-08-30
Common Stock
207128
D
Stock Options
16.45
2019-12-15
2029-12-15
Common Stock
34521
I
As Trustee of Trust A
Stock Options
16.45
2019-12-15
2029-12-15
Common Stock
34521
I
As Trustee of Trust B
Warrants
10.36
2019-08-30
2029-08-30
Common Stock
29748
I
As Trustee of Trust A
Warrants
10.36
2019-08-30
2020-08-30
Common Stock
29748
I
As Trustee of Trust B
/s/ Robert B. Brown
2019-09-09