0001214659-19-005762.txt : 20190909 0001214659-19-005762.hdr.sgml : 20190909 20190909204343 ACCESSION NUMBER: 0001214659-19-005762 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: VERU DENNISON T CENTRAL INDEX KEY: 0001225341 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21088 FILM NUMBER: 191084151 MAIL ADDRESS: STREET 1: C/O PALIDADE CAPITAL STREET 2: ONE BRIDGE PLAZA NORTH #695 CITY: FORT LEE STATE: NJ ZIP: 07024 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-45727.xml PRIMARY DOCUMENT X0206 3 2019-08-31 0 0000819050 Brickell Biotech, Inc. BBI 0001225341 VERU DENNISON T C/O BRICKELL BIOTECH, INC. 5777 CENTRAL AVENUE, SUITE 102 BOULDER CO 80301 true false false false Common Stock 7230 D Common Stock 950905 I By Self due to Control over the Entity that holds Shares Warrants 10.36 2019-08-30 2029-08-30 Common Stock 3316 D Stock Options 12.17 2015-04-22 2025-04-22 Common Stock 8630 I By Self due to Control of Entity that Holds Options Stock Options 12.17 2016-12-15 2026-12-15 Common Stock 3452 I By Self due to Control of Entity that Holds Options Stock Options 16.45 2019-12-15 2029-12-15 Common Stock 5178 I By Self due to Control of Entity that Holds Options Stock Options 4.76 2020-08-30 2029-08-30 Common Stock 34521 I By Self due to Control of Entity that Holds Options /s/ Dennison T. Veru 2019-09-09