SEC Form 4 · accession 0001562180-17-002756
Dermira, Inc. · DERM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Luis C. Pena
Officer — Chief Development Officer
Period of report
Aug 15, 2017
Accepted (ET)
Aug 17, 2017 · 7:44 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 StockF1 | Aug 15, 2017 | M | 813 | $0.00 | A | 7,876 | D | |
| Common Stock | Aug 15, 2017 | M | 3,000 | $0.00 | A | 10,876 | D | |
| Common Stock | Aug 15, 2017 | F | 1,128 | $23.58 | D | 9,748 | D | |
| Common Stock | Aug 15, 2017 | F | 306 | $23.58 | D | 9,442 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF2,F3 | — | Aug 15, 2017 | M | 3,000 | D | — | — | Common Stock | 3,000 | 6,000 | D |
| Restricted Stock UnitF2,F4 | — | Aug 15, 2017 | M | 813 | D | — | — | Common Stock | 813 | 7,312 | D |
Explanation of responses
- F1These shares include prior ESPP purchases.
- F2Each RSU represents a contingent right to receive one share of DERM common stock.
- F3Vested as to 10% of the shares on August 15, 2016 and 30% of the shares on August 15, 2017. 30% of the shares will vest on each of August 15, 2018 and August 15, 2019, subject to the Reporting Person's continuous status as a service provider on the applicable vesting date.
- F4Vested as to 10% of the shares on August 15, 2017. 30% of the shares will vest on each of August 15, 2018, August 15, 2019 and August 15, 2020, subject to the Reporting Person's continuous status as a service provider on the applicable vesting date.