SEC Form 4 · accession 0001562180-18-003003
Dermira, Inc. · DERM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David E Cohen
Director
Period of report
Jun 12, 2018
Accepted (ET)
Jun 14, 2018 · 5:45 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 | Jun 13, 2018 | M | 3,000 | $0.00 | A | 32,682 | 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)F2 | $9.95 | Jun 12, 2018 | A | 6,000 | A | — | Jun 12, 2028 | Common Stock | 6,000 | 6,000 | D |
| Restricted Stock UnitF3,F4 | — | Jun 12, 2018 | A | 3,000 | A | — | — | Common Stock | 3,000 | 3,000 | D |
| Restricted Stock UnitF3,F5 | — | Jun 13, 2018 | M | 3,000 | D | — | — | Common Stock | 3,000 | 0 | D |
Explanation of responses
- F1Represents shares acquired upon vesting of RSU granted on June 13, 2017.
- F2The stock option will vest and become exercisable as to 100% of the shares on June 12, 2019, subject to the continuing service of the Reporting Person on such vesting date.
- F3Each RSU represents a contingent right to receive one share of DERM common stock.
- F4The RSU will vest 100% of the shares on June 12, 2019, subject to the continuing service of the Reporting Person on such vesting date.
- F5The RSU, which was granted on June 13, 2017, fully vested on June 13, 2018.