0001209191-15-050778.txt : 20150605 0001209191-15-050778.hdr.sgml : 20150605 20150605182632 ACCESSION NUMBER: 0001209191-15-050778 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150603 FILED AS OF DATE: 20150605 DATE AS OF CHANGE: 20150605 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIBROGEN INC CENTRAL INDEX KEY: 0000921299 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 409 ILLINOIS STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94158 BUSINESS PHONE: 415-978-1200 MAIL ADDRESS: STREET 1: 409 ILLINOIS STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94158 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Schoeneck James A CENTRAL INDEX KEY: 0001420987 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36740 FILM NUMBER: 15917025 MAIL ADDRESS: STREET 1: C/O DEPOMED, INC. STREET 2: 1360 O'BRIEN DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-06-03 0 0000921299 FIBROGEN INC FGEN 0001420987 Schoeneck James A C/O FIBROGEN, INC. 409 ILLINOIS ST. SAN FRANCISCO CA 94158 1 0 0 0 Stock Option (Right to Buy) 18.34 2015-06-03 4 A 0 12000 0.00 A 2025-06-02 Common Stock 12000 12000 D The shares subject to the option vest and become exercisable quarterly over one year measured from June 3, 2015. /s/ John Alden, Attorney-in-fact 2015-06-04