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Delaware
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46-1385614
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(State or other jurisdiction of incorporation or organization)
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(I.R.S. Employer Identification No.)
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Mark Peterson, Esq.
O’Melveny & Myers LLP
610 Newport Center Drive, Suite 1700
Newport Beach, California 92660
(949) 823-6900
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Jeffrey J. Plumer
Vice President, Legal
Evolus, Inc.
520 Newport Center Drive, Suite 1200
Newport Beach, California 92660
(949) 284-4555
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Large accelerated filer
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☐
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Accelerated filer
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☒
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Non-accelerated filer
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☐
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Smaller reporting company
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☒
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Emerging growth company
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☒
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Title of Securities to be Registered
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Amount to be Registered(1)
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Proposed Maximum Offering Price Per Share(2)
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Proposed Maximum Aggregate Offering Price
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Amount of
Registration Fee
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Common Stock, par value $0.00001 per share
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1,337,821
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$9.60
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$12,843,081.60
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$1,667.04
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(1)
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Pursuant to Rule 416(a) under the Securities Act of 1933, as amended (the “Securities Act”), this Registration Statement will also cover any additional shares of the common stock of Evolus, Inc. (the “Company” or the “Registrant”) that become issuable under the Evolus, Inc. 2017 Omnibus Incentive Plan (the “Plan”), by reason of any stock dividend, stock split, recapitalization, or other similar transaction effected that results in an increase to the number of outstanding shares of the Registrant’s common stock.
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(2)
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Estimated in accordance with Rules 457(c) and (h) solely for the purpose of calculating the registration fee on the basis of the average of the high and low prices of the Registrant’s common stock as reported on the Nasdaq Global Market on February 24, 2020.
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Item 3.
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Incorporation of Certain Documents by Reference
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(a)
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The Company’s Annual Report on Form 10-K for its fiscal year ended December 31, 2019, filed with the Commission on February 25, 2020 (Commission File No. 001-38391);
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(d)
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The description of the Company’s Common Stock contained in its Registration Statement on Form 8-A filed with the Commission on February 1, 2018 (Commission File No. 001-38391), and any other amendment or report filed for the purpose of updating such description.
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(e)
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The Company’s Registration Statements on Form S-8 previously filed with the Commission on January 10, 2019 (File No. 333-229184) and February 16, 2018 (File No. 333-223068) relating to the Plan.
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Item 5.
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Interests of Named Experts and Counsel
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Item 8.
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Exhibits.
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EVOLUS, INC.
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/s/ David Moatazedi
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By:
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David Moatazedi
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President and Chief Executive Officer
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Signature
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Title
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Date
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/s/ David Moatazedi
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President, Chief Executive Officer and
Member of the Board of Directors
(Principal Executive Officer)
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February 25, 2020
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David Moatazedi
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/s/ Lauren P. Silvernail
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Chief Financial Officer and
Executive Vice President of Corporate Development (Principal Financial and Accounting Officer) |
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February 25, 2020
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Lauren P. Silvernail
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/s/ Vikram Malik
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Chairman of the Board of Directors
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February 25, 2020
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Vikram Malik
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/s/ Simone Blank
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Director
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February 25, 2020
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Simone Blank
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/s/ Bosun Hau
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Director
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February 25, 2020
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Bosun Hau
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/s/ Kristine Romine, M.D.
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Director
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February 25, 2020
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Kristine Romine, M.D.
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/s/ Robert Hayman
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Director
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February 25, 2020
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Robert Hayman
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/s/ David Gill
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Director
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February 25, 2020
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David Gill
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/s/ Peter C. Farrell, Ph.D., AM.
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Director
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February 25, 2020
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Peter C. Farrell, Ph.D., AM.
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/s/ Karah Parschauer
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Director
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February 25, 2020
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Karah Parschauer
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Yours truly,
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/s/ Jeffrey Plumer
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Jeffrey Plumer
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Vice President, Legal and Secretary
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