0001415889-24-015857.txt : 20240606 0001415889-24-015857.hdr.sgml : 20240606 20240606200015 ACCESSION NUMBER: 0001415889-24-015857 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240605 FILED AS OF DATE: 20240606 DATE AS OF CHANGE: 20240606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ho Maykin CENTRAL INDEX KEY: 0001646395 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36740 FILM NUMBER: 241026946 MAIL ADDRESS: STREET 1: C/O AGIOS PHARMACEUTICALS, INC. STREET 2: 88 SIDNEY STREET CITY: CAMBRIDGE STATE: MA ZIP: 02139 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIBROGEN INC CENTRAL INDEX KEY: 0000921299 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] ORGANIZATION NAME: 03 Life Sciences 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 form4-06062024_080612.xml X0508 4 2024-06-05 0000921299 FIBROGEN INC FGEN 0001646395 Ho Maykin C/O FIBROGEN, INC. 409 ILLINOIS ST. SAN FRANCISCO CA 94158 true false false false 0 Stock Option (Right to Buy) 1.21 2024-06-05 4 A 0 70000 0 A 2034-06-04 Common Stock 70000 70000 D Options vest on the earlier of June 16, 2025 or the date of the next annual meeting of stockholders, subject to the reporting person's continuous service on the applicable vesting date. /s/ Michael Hom, Attorney-in-Fact 2024-06-06