SEC Form 4 · accession 0001570562-18-000020
Evolus, Inc. · EOLS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Simone Blank
Director
Period of report
Apr 24, 2018
Accepted (ET)
Apr 26, 2018 · 1:35 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001570562
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F1 | $8.01 | Apr 24, 2018 | A | 9,086 | A | — | Apr 24, 2028 | Common Stock | 9,086 | 9,086 | D |
Explanation of responses
- F1The shares subject to the option will vest over a period of two years, with 1/2 of the shares subject to the option vesting annually on the anniversary of January 6, 2018.