0001209191-23-036074.txt : 20230609
0001209191-23-036074.hdr.sgml : 20230609
20230609195223
ACCESSION NUMBER: 0001209191-23-036074
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230607
FILED AS OF DATE: 20230609
DATE AS OF CHANGE: 20230609
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Henderson Jeffrey William
CENTRAL INDEX KEY: 0001324015
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36740
FILM NUMBER: 231006815
MAIL ADDRESS:
STREET 1: 7000 CARDINAL PLACE
CITY: DUBLIN
STATE: OH
ZIP: 43017
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
X0407
4
2023-06-07
0
0000921299
FIBROGEN INC
FGEN
0001324015
Henderson Jeffrey William
C/O FIBROGEN, INC.
409 ILLINOIS STREET
SAN FRANCISCO
CA
94158
1
0
0
0
1
Common Stock
2023-06-07
4
A
0
8289
0.00
A
41866
D
Common Stock
2023-06-08
4
S
0
2006
16.87
D
39860
D
Common Stock
2023-06-08
4
S
0
4994
17.69
D
34866
D
Stock Option (Right to Buy)
17.13
2023-06-07
4
A
0
12666
0.00
A
2033-06-06
Common Stock
12666
12666
D
Represents the grant of restricted stock units that vest on the earlier of June 7, 2024 or the date of the next annual meeting of stockholders, subject to the reporting person's continuous service on the applicable vesting date.
Represents the number of shares sold by the reporting person (pursuant to a 10b5-1 trading plan dated March 3, 2023) to cover the tax obligation realized upon the vesting of restricted stock units previously reported in Table I.
Price reported is a weighted-average sales price. The shares were sold at prices ranging from $16.52 to $17.51. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.
Price reported is a weighted-average sales price. The shares were sold at prices ranging from $17.52 to $17.86. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.
Options vest on the earlier of June 7, 2024 or the date of the next annual meeting of stockholders, subject to the reporting person's continuous service on the applicable vesting date.
/s/ Cecelia Monoarfa-Taime, Attorney-in-fact
2023-06-09