SEC Form 4 · accession 0001140361-15-026043
Dermira, Inc. · DERM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Matthew K Fust
Director
Period of report
Jun 29, 2015
Accepted (ET)
Jun 30, 2015 · 4:09 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001557883
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jun 29, 2015 | M | 9,051 | $5.51 | A | 15,051 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Director Stock Option (right to buy)F1 | $5.51 | Jun 29, 2015 | M | 9,051 | D | — | Jun 4, 2024 | Common Stock | 9,051 | 14,224 | D |
Explanation of responses
- F1The stock option vests and becomes exercisable in 36 equal monthly installments beginning on April 29, 2014, subject to the continuing service of the Reporting Person on such vesting date.