0001437749-20-019142.txt : 20200901 0001437749-20-019142.hdr.sgml : 20200901 20200901174543 ACCESSION NUMBER: 0001437749-20-019142 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200901 FILED AS OF DATE: 20200901 DATE AS OF CHANGE: 20200901 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cullen Michael T. CENTRAL INDEX KEY: 0001652996 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39468 FILM NUMBER: 201155229 MAIL ADDRESS: STREET 1: 712 VISTA BLVD, #305 CITY: WACONIA STATE: MN ZIP: 55387 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Sun BioPharma, Inc. CENTRAL INDEX KEY: 0001029125 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 870543922 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 712 VISTA BLVD #305 CITY: WACONIA STATE: MN ZIP: 55387 BUSINESS PHONE: 9524791196 MAIL ADDRESS: STREET 1: 712 VISTA BLVD #305 CITY: WACONIA STATE: MN ZIP: 55387 FORMER COMPANY: FORMER CONFORMED NAME: Cimarron Medical, Inc. DATE OF NAME CHANGE: 20150602 FORMER COMPANY: FORMER CONFORMED NAME: CIMARRON SOFTWARE INC DATE OF NAME CHANGE: 19961217 4 1 rdgdoc.xml FORM 4 X0306 4 2020-09-01 0001029125 Sun BioPharma, Inc. SNBP 0001652996 Cullen Michael T. 712 VISTA BLVD #305 WACONIA MN 55387 1 1 1 Exec. Chairman, Pres. & CEO Common Stock 2020-09-01 4 P 0 10000 A 207995 D Common Stock 204576 I By Cullen Living Trust Dated April 23, 2009 Warrant (right to buy) 4.54 2020-09-01 4 P 0 10000 A 2020-09-01 2025-09-01 Common Stock 10000 10000 D Reported securities purchased as one share of common stock and one warrant to purchase one share of common stock for a combined price of $4.125 per share and warrant. /s/ Joshua L. Colburn, Attorney-in-Fact 2020-09-01