SEC Form 4 · accession 0001562180-17-004016
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 21, 2017
Accepted (ET)
Dec 22, 2017 · 4:16 pm 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 | Dec 21, 2017 | M | 5,000 | $1.218 | A | 18,662 | D | |
| Common Stock | holding | — | — | — | 131,180 | I | By the Wiggans Living Trust dated 5/14/02 |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options (Right to buy)F2 | $1.218 | Dec 21, 2017 | M | 5,000 | D | — | Jan 3, 2023 | Common Stock | 5,000 | 115,022 | D |
Explanation of responses
- F1This share amount includes ESPP shares.
- F2This option fully vested on 1/4/2017.