SEC Form 5 · accession 0001562180-16-001472
Dermira, Inc. · DERM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas G Wiggans
Officer — CEO & Chairman of the Board · Director
Period of report
Dec 31, 2015
Accepted (ET)
Feb 3, 2016 · 9:27 am EST
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 StockF1,F2 | Nov 10, 2015 | G | 5,000 | $0.00 | D | 258,180 | I | By the Wiggans Living Trust dated 5/14/02 |
| Common StockF3 | holding | — | — | — | 8,620 | I | By the Amanda Wiggans Irrevocable Gifting Trust dated 2/24/11 | |
| Common StockF3 | holding | — | — | — | 8,620 | I | By the Elizabeth Wiggans Irrevocable Gifting Trust dated 2/24/11 |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents shares of common stock donated as a gift to Schwab Charitable Fund.
- F2The Reporting Person is a Co-Trustee.
- F3The Reporting Person has no voting or dispositive power over the shares held by the trust.