0001437749-23-010519.txt : 20230418
0001437749-23-010519.hdr.sgml : 20230418
20230418114004
ACCESSION NUMBER: 0001437749-23-010519
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230415
FILED AS OF DATE: 20230418
DATE AS OF CHANGE: 20230418
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: 23825958
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: 3 MOUNTAINVIEW ROAD, SUITE 100
CITY: WARREN
STATE: NJ
ZIP: 07059
BUSINESS PHONE: (917) 697-3130
MAIL ADDRESS:
STREET 1: 3 MOUNTAINVIEW ROAD, SUITE 100
CITY: WARREN
STATE: NJ
ZIP: 07059
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
rdgdoc.xml
MENDELSOHN FORM 4
X0407
4
2023-04-15
0001504167
Timber Pharmaceuticals, Inc.
TMBR
0001842511
Mendelsohn Alan
C/O TIMBER PHARMACEUTICALS, INC.
3 MOUNTAINVIEW RD, SUITE 100
WARREN
NJ
07059
1
EVP & CMO
0
Stock Option (right to buy)
1.66
2023-04-15
4
A
0
22505
0
A
2032-04-14
Common Stock
22505
22505
D
25% of the options vest on April 15, 2024, and the remaining shares will become exercisable in 36 equal monthly installments beginning on May 15, 2024, as long as the Reporting Person remains in continuous service with Timber Pharmaceuticals, Inc. through each vesting date.
/s/ Joseph Lucchese, Power of Attorney
2023-04-18