SEC Form 4 · accession 0000899243-16-030266
Novan, Inc. · NOVN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert Alexander Ingram
Director
Period of report
Sep 26, 2016
Accepted (ET)
Sep 28, 2016 · 6:32 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 | 27,777 | $0.00 | A | 57,777 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series 4 Preferred StockF1 | — | Sep 26, 2016 | C | 27,777 | D | — | — | Common Stock | 27,777 | 0 | D |
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.