0001209191-17-039003.txt : 20170609
0001209191-17-039003.hdr.sgml : 20170609
20170609184355
ACCESSION NUMBER: 0001209191-17-039003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170607
FILED AS OF DATE: 20170609
DATE AS OF CHANGE: 20170609
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: 17904106
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
2017-06-07
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)
28.65
2017-06-07
4
A
0
12000
0.00
A
2027-06-07
Common Stock
12000
12000
D
The shares subject to the option vest and become exercisable quarterly over one year measured from June 7, 2017.
/s/ Dorothy Pacini, Attorney-in-Fact
2017-06-09