0000905718-21-000665.txt : 20210513
0000905718-21-000665.hdr.sgml : 20210513
20210513160657
ACCESSION NUMBER: 0000905718-21-000665
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210303
FILED AS OF DATE: 20210513
DATE AS OF CHANGE: 20210513
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mendelsohn Alan
CENTRAL INDEX KEY: 0001842511
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37411
FILM NUMBER: 21919621
MAIL ADDRESS:
STREET 1: C/O TIMBER PHARMACEUTICALS, INC.
STREET 2: 50 TICE BLVD., SUITE A26
CITY: WOODCLIFF LAKE
STATE: NJ
ZIP: 07677
FORMER NAME:
FORMER CONFORMED NAME: Mendelsohn Dr. Alan
DATE OF NAME CHANGE: 20210126
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Timber Pharmaceuticals, Inc.
CENTRAL INDEX KEY: 0001504167
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 593843182
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 110 ALLEN ROAD, SUITE 401
CITY: BASKING RIDGE
STATE: NJ
ZIP: 07920
BUSINESS PHONE: 914-205-3481
MAIL ADDRESS:
STREET 1: 110 ALLEN ROAD, SUITE 401
CITY: BASKING RIDGE
STATE: NJ
ZIP: 07920
FORMER COMPANY:
FORMER CONFORMED NAME: BioPharmX Corp
DATE OF NAME CHANGE: 20140304
FORMER COMPANY:
FORMER CONFORMED NAME: THOMPSON DESIGNS INC
DATE OF NAME CHANGE: 20101022
4
1
timber_fm4mar32021.xml
X0306
4
2021-03-03
0
0001504167
Timber Pharmaceuticals, Inc.
TMBR
0001842511
Mendelsohn Alan
100 ALLEN ROAD, SUITE 401
BASKING RIDGE
NJ
07920
0
1
0
0
Chief Medical Officer
Common Stock, par value $0.001 per share
2021-03-03
4
P
0
1988
2.17
A
1988
I
By spouse
/s/ Joseph Lucchese, Power of Attorney
2021-05-13