0001104659-21-109895.txt : 20210826 0001104659-21-109895.hdr.sgml : 20210826 20210826184701 ACCESSION NUMBER: 0001104659-21-109895 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210824 FILED AS OF DATE: 20210826 DATE AS OF CHANGE: 20210826 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TardiMed Sciences LLC CENTRAL INDEX KEY: 0001800690 STATE OF INCORPORATION: CT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37411 FILM NUMBER: 211213690 BUSINESS ADDRESS: STREET 1: 303 SOUTH BROADWAY STREET 2: SUITE 125 CITY: TARRYTOWN STATE: NY ZIP: 10591 BUSINESS PHONE: 201-645-4767 MAIL ADDRESS: STREET 1: 303 SOUTH BROADWAY STREET 2: SUITE 125 CITY: TARRYTOWN STATE: NY ZIP: 10591 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 tm2126048-1_4.xml FORM 4 X0306 4 2021-08-24 0 0001504167 Timber Pharmaceuticals, Inc. TMBR 0001800690 TardiMed Sciences LLC 303 SOUTH BROADWAY, SUITE 125 TARRYTOWN NY 10591 0 0 1 0 Common Stock, par value $0.001 per share 2021-08-24 4 S 0 100000 0.9253 D 4334067 D Common Stock, par value $0.001 per share 2021-08-25 4 S 0 100000 0.9126 D 4234067 D Common Stock, par value $0.001 per share 2021-08-26 4 S 0 100000 0.9184 D 4134067 D The price represents the weighted average sales price for multiple transactions reported on this line. The prices of the transactions ranged from $0.92 to $0.9429, inclusive. The reporting person undertakes to provide to Timber Pharmaceuticals, Inc. ("Timber"), any security holder of Timber, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth herein. The price represents the weighted average sales price for multiple transactions reported on this line. The prices of the transactions ranged from $0.9101 to $0.9257, inclusive. The reporting person undertakes to provide to Timber, any security holder of Timber, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth herein. The price represents the weighted average sales price for multiple transactions reported on this line. The prices of the transactions ranged from $0.9101 to $0.9375, inclusive. The reporting person undertakes to provide to Timber, any security holder of Timber, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth herein. /s/ Michael Derby, Managing Partner of TardiMed Sciences LLC 2021-08-26