SEC Form 4 · accession 0000899243-16-030264
Novan, Inc. · NOVN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeff N Hunter
Officer — VP of Technical Operations
Period of report
Sep 26, 2016
Accepted (ET)
Sep 28, 2016 · 6:29 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001467154
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Sep 26, 2016 | C | 141,666 | $0.00 | A | 174,999 | D | |
| Common Stock | Sep 26, 2016 | C | 41,666 | $0.00 | A | 41,666 | I | By spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series 1 Preferred StockF1 | — | Sep 26, 2016 | C | 141,666 | D | — | — | Common Stock | 141,666 | 0 | D |
| Series 1 Preferred StockF1 | — | Sep 26, 2016 | C | 41,666 | D | — | — | Common Stock | 41,666 | 0 | I |
Explanation of responses
- F1The preferred stock automatically converted into common stock on a 1-to-1 basis upon the closing of the Issuer's initial public offering.