0001209191-18-026136.txt : 20180425
0001209191-18-026136.hdr.sgml : 20180425
20180425180558
ACCESSION NUMBER: 0001209191-18-026136
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180423
FILED AS OF DATE: 20180425
DATE AS OF CHANGE: 20180425
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: 18775441
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
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-04-23
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
2018-04-23
4
M
0
33550
2.90
A
229884
D
Stock Option (Right to Buy)
2.90
2018-04-23
4
M
0
1550
0.00
D
2020-06-23
Common Stock
1550
0
D
Stock Option (Right to Buy)
2.90
2018-04-23
4
M
0
32000
0.00
D
2020-06-23
Common Stock
32000
0
D
Fully vested.
/s/ Dorothy Pacini, Attorney-in-fact
2018-04-25