0001209191-17-044390.txt : 20170707
0001209191-17-044390.hdr.sgml : 20170707
20170707163311
ACCESSION NUMBER: 0001209191-17-044390
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170706
FILED AS OF DATE: 20170707
DATE AS OF CHANGE: 20170707
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: Cotroneo Pat
CENTRAL INDEX KEY: 0001621334
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36740
FILM NUMBER: 17955536
MAIL ADDRESS:
STREET 1: C/O FIBROGEN, INC.
STREET 2: 409 ILLINOIS ST.,
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94158
FORMER NAME:
FORMER CONFORMED NAME: Controneo Pat
DATE OF NAME CHANGE: 20141002
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-07-06
0
0000921299
FIBROGEN INC
FGEN
0001621334
Cotroneo Pat
C/O FIBROGEN, INC.
409 ILLINOIS ST.
SAN FRANCISCO
CA
94158
0
1
0
0
VP, Finance and CFO
Common Stock
2017-07-06
4
M
0
4000
2.90
A
167366
D
Common Stock
2017-07-06
4
S
0
4000
34.00
D
163366
D
Stock Option (Right to Buy)
2.90
2017-07-06
4
M
0
4000
0.00
D
2020-06-09
Common Stock
4000
18600
D
Shares sold pursuant to a 10b5-1 plan.
Fully vested.
/s/ Dorothy Pacini, Attorney-in-fact
2017-07-07