Form Type: 4

SEC EDGAR Link
Accession Number:0001570562-22-000128
Date:2022-09-06
Issuer: EVOLUS, INC. (EOLS)
Original Submission Date:

Reporting Person:

BLANK SIMONE
520 NEWPORT CENTER DR.
SUITE 1200 NEWPORT BEACH, CA 92660

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON STOCK 2022-09-06 P 20,000 a $9.24 54,881 direct
COMMON STOCK 2022-09-06 0 $0.00 367,577 indirect f3
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
Footnotes
IDfootnote
f1 the shares were purchased in multiple trades at prices ranging from $9.08 to $9.52. the price reported above reflects the weighted average purchase price. the reporting person hereby undertakes to provide upon request to the sec staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
f2 total includes 15,568 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 january 24, 2022, 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.
f3 represents shares held by dental innovations apus investment bv ("diai) and may be deemed beneficially owned by the reporting person as the sole beneficial owner of diai.
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