0001104659-22-047222.txt : 20220419
0001104659-22-047222.hdr.sgml : 20220419
20220419130327
ACCESSION NUMBER: 0001104659-22-047222
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220415
FILED AS OF DATE: 20220419
DATE AS OF CHANGE: 20220419
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lucchese Joseph
CENTRAL INDEX KEY: 0001810134
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37411
FILM NUMBER: 22834144
MAIL ADDRESS:
STREET 1: C/O TIMBER PHARMACEUTICALS, INC.
STREET 2: 900 E. HAMILTON AVENUE, SUITE 100
CITY: CAMPBELL
STATE: CA
ZIP: 95008
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
tm2212708-8_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-04-15
0
0001504167
Timber Pharmaceuticals, Inc.
TMBR
0001810134
Lucchese Joseph
C/O TIMBER PHARMACEUTICALS, INC.
110 ALLEN ROAD, SUITE 401
BASKING RIDGE
NJ
07920
0
1
0
0
CFO,EVP,Secretary&Treasurer
Stock Option (right to buy)
0.307
2022-04-15
4
A
0
300000
0
A
2032-04-14
Common Stock, par value $0.001 per share
300000
300000
D
25% of the options vest on April 15, 2023, and the remaining shares will become exercisable in 36 equal monthly installments beginning on May 15, 2023, as long as the Reporting Person remains in continuous service with Timber Pharmaceuticals, Inc. through each vesting date.
/s/ Joseph Lucchese
2022-04-19