0001209191-22-039295.txt : 20220624 0001209191-22-039295.hdr.sgml : 20220624 20220624172710 ACCESSION NUMBER: 0001209191-22-039295 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220622 FILED AS OF DATE: 20220624 DATE AS OF CHANGE: 20220624 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wettig Thane CENTRAL INDEX KEY: 0001815638 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36740 FILM NUMBER: 221041007 MAIL ADDRESS: STREET 1: C/O FIBROGEN, INC. STREET 2: 409 ILLINOIS STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94158 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 2022-06-22 0 0000921299 FIBROGEN INC FGEN 0001815638 Wettig Thane C/O FIBROGEN, INC. 409 ILLINOIS STREET SAN FRANCISCO CA 94158 0 1 0 0 Chief Commercial Officer Common Stock 2022-06-22 4 F 0 655 11.42 D 91294 D Represents shares withheld by the Issuer to satisfy a tax obligation realized by the reporting person upon the vesting of restricted stock units. Includes 1,988 shares acquired on May 13, 2022 through the Issuer's Employee Stock Purchase Plan. /s/ Dorothy Pacini, Attorney-in-fact 2022-06-24