4//SEC Filing
BLANK SIMONE 4
Accession 0001570562-21-000045
CIK 0001570562other
Filed
Feb 11, 7:00 PM ET
Accepted
Feb 12, 6:24 PM ET
Size
6.6 KB
Accession
0001570562-21-000045
Insider Transaction Report
Form 4
Evolus, Inc.EOLS
BLANK SIMONE
Director
Transactions
- Award
Common Stock
2021-02-05+19,313→ 19,313 total
Holdings
- 367,577(indirect: See Footnote)
Common Stock
Footnotes (2)
- [F1]Represents shares issuable on settlement of restricted stock units ("RSUs") granted to the reporting person. Each RSU represents a contingent right to receive one share of the Issuer's common stock. The RSUs will vest in full on the one year anniversary of February 5, 2021, provided the reporting person remains in continuous service before the vesting date, subject to accelerated vesting in certain events, including upon certain changes of control of the Issuer.
- [F2]Reflects the contribution in October 2020 of all shares of common stock of the Issuer held by Dental Innovations BVBA ("DI") to Dental Innovations Apus Investment BV ("DIAI) and to Dental Innovations Investment A BV. The Reporting Person, as a shareholder of DI, previously reported beneficial ownership of all 923,560 shares held by DI; however, the Reporting Person had a pecuniary interest in only 367,577 of such shares. As the sole beneficial owner of DIAI, the Reporting Person continues to have a pecuniary interest in the 367,577 shares contributed to DIAI. Accordingly, the transaction represents only a change in the form of beneficial ownership without changing the Reporting Person's pecuniary interest in such shares and, as a result, the transaction was exempt from Section 16 of the Securities Exchange Act of 1934, as amended
Documents
Issuer
Evolus, Inc.
CIK 0001570562
Entity typeother
Related Parties
1- filerCIK 0001366840
Filing Metadata
- Form type
- 4
- Filed
- Feb 11, 7:00 PM ET
- Accepted
- Feb 12, 6:24 PM ET
- Size
- 6.6 KB