Amended Statement of Ownership (sc 13g/a)
January 25 2021 - 5:14PM
Edgar (US Regulatory)
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS
FILED PURSUANT TO §240.13d-1(b), (c) AND (d) AND
AMENDMENTS THERETO FILED PURSUANT TO §240.13d-2
(Amendment No. 2)*
Verrica
Pharmaceuticals Inc.
(Name of Issuer)
Common Stock, $0.0001 par value per share
(Title of Class of Securities)
9251 1W 108
(CUSIP
Number)
December 31, 2020
(Date of Event which Requires Filing of this Statement)
Check the appropriate box to
designate the rule pursuant to which this Schedule is filed:
*
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The remainder of this cover page shall be filled out for a reporting persons initial filing on this form
with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
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The information required in the remainder of this cover page shall not be deemed to be filed for the purpose of Section 18 of the Securities
Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
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CUSIP No. 9251 1W 108
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13G
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Page
2
of 6 Pages
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1
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NAME OF REPORTING PERSONS
I.R.S.
IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Matt
Davidson
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2
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CHECK THE APPROPRIATE BOX
IF A MEMBER OF A GROUP*
(a) ☐ (b) ☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF
ORGANIZATION
United
States
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
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5
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SOLE VOTING POWER
1,445,003
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6
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SHARED VOTING POWER
0
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7
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SOLE DISPOSITIVE POWER
1,445,003
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8
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SHARED DISPOSITIVE POWER
0
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,445,003
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10
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CHECK BOX IF THE AGGREGATE
AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐
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11
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PERCENT OF CLASS
REPRESENTED BY AMOUNT IN ROW (9)
5.6%1
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12
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TYPE OF REPORTING
PERSON*
IN
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1
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This percentage is calculated based upon 25,865,542 shares of the Issuers common stock outstanding as of
November 5, 2020, as reported by the Issuer in its Form 10-Q for the quarter ended September 30, 2020, filed with the Securities and Exchange Commission on November 9, 2020.
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CUSIP No. 9251 1W 108
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13G
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Page
3
of 6 Pages
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Verrica Pharmaceuticals Inc.
(b)
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Address of Issuers Principal Executive Offices
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10 North High Street, Suite 200
West Chester, PA 19380
(a)
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Name of Person Filing
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Matt Davidson
(b)
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Address of Principal Business Office or, if none, Residence
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4267 Valley Meadow Road
Encino, CA 91436
Matt Davidson is a citizen of the United States of America.
(d)
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Title of Class of Securities
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Common Stock
9251 1W 108
Item 3.
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If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: NOT APPLICABLE.
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(a)
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☐ Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).
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(b)
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☐ Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).
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(c)
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☐ Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).
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(d)
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☐ Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8).
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(e)
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☐ An investment adviser in accordance with
§240.13d-1(b)(1)(ii)(E);
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(f)
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☐ An employee benefit plan or endowment fund in accordance with
§240.13d-1(b)(1)(ii)(F);
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(g)
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☐ A parent holding company or control person in accordance with §
240.13d-1(b)(1)(ii)(G);
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CUSIP No. 9251 1W 108
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13G
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Page
4
of 6 Pages
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(h)
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A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
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(i)
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A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the
Investment Company Act of 1940 (15 U.S.C. 80a-3);
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(j)
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A non-U.S. institution in accordance with §240.13d-1(b)(1)(ii)(J);
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(k)
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Group, in accordance with §240.13d-1(b)(1)(ii)(K).
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If filing as a non-U.S. institution in accordance with §240.13d-1(b)(1)(ii)(J), please specify the type of institution: .
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
(a)
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Amount beneficially owned: See the responses to Item 9 on the attached cover page.
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(b)
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Percent of class: See the responses to Item 11 on the attached cover page.
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(c)
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Number of shares as to which the person has:
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(i)
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Sole power to vote or to direct the vote See the responses to Item 5 on the attached cover page.
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(ii)
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Shared power to vote or to direct the vote 0
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(iii)
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Sole power to dispose or to direct the disposition of See the responses to Item 7 on the attached
cover page.
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(iv)
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Shared power to dispose or to direct the disposition of 0
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Instruction. For computations regarding securities which represent a right to acquire an underlying security
see §240.13d-3(d)(1).
Item 5.
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Ownership of Five Percent or Less of a Class.
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If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of
more than five percent of the class of securities, check the following [ ].
Item 6.
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Ownership of More than Five Percent on Behalf of Another Person.
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Not Applicable
Item 7.
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Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the
Parent Holding Company.
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Not Applicable
Item 8.
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Identification and Classification of Members of the Group.
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Not Applicable
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CUSIP No. 9251 1W 108
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13G
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Page
5
of 6 Pages
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Item 9.
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Notice of Dissolution of Group.
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Not Applicable
Item 10. Certification
Not Applicable.
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CUSIP No. 9251 1W 108
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13G
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Page
6
of 6 Pages
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SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true,
complete and correct.
January 25, 2021
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/s/ Matt Davidson
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Matt Davidson
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