0001843082-21-000028.txt : 20211116 0001843082-21-000028.hdr.sgml : 20211116 20211116162533 ACCESSION NUMBER: 0001843082-21-000028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211112 FILED AS OF DATE: 20211116 DATE AS OF CHANGE: 20211116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KUBACKI RAYMOND C JR CENTRAL INDEX KEY: 0001041889 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13738 FILM NUMBER: 211416444 MAIL ADDRESS: STREET 1: 125 NAGOG PARK CITY: ACTON STATE: MA ZIP: 01720 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PSYCHEMEDICS CORP CENTRAL INDEX KEY: 0000806517 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 581701987 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 125 NAGOG PARK CITY: ACTON STATE: MA ZIP: 01720 BUSINESS PHONE: 978-206-8220 MAIL ADDRESS: STREET 1: 125 NAGOG PARK CITY: ACTON STATE: MA ZIP: 01720 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2021-11-12 0000806517 PSYCHEMEDICS CORP PMD 0001041889 KUBACKI RAYMOND C JR C/O PSYCHEMEDICS CORPORATION 289 GREAT ROAD, SUITE 200 ACTON MA 01720 1 1 0 0 Chairman, CEO & President Common Stock, $.005 Par Value 2021-11-12 4 F 0 3062 8.5 D 234312 D Patrick J. Kinney, Jr. as attorney-in-fact for Raymond C. Kubacki, Jr. 2021-11-16