0001415889-24-016677.txt : 20240613 0001415889-24-016677.hdr.sgml : 20240613 20240613163017 ACCESSION NUMBER: 0001415889-24-016677 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240612 FILED AS OF DATE: 20240613 DATE AS OF CHANGE: 20240613 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Adib Deyaa CENTRAL INDEX KEY: 0002014286 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36740 FILM NUMBER: 241041667 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] 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 form4-06132024_040604.xml X0508 4 2024-06-12 0000921299 FIBROGEN INC FGEN 0002014286 Adib Deyaa C/O FIBROGEN, INC. 409 ILLINOIS STREET SAN FRANCISCO CA 94158 false true false false Chief Medical Officer 0 Common Stock 2024-06-12 4 P 0 22123 1.17 A 82123 D /s/ Michael Hom, Attorney-in-Fact 2024-06-13