0001437749-19-017482.txt : 20190826
0001437749-19-017482.hdr.sgml : 20190826
20190826211648
ACCESSION NUMBER: 0001437749-19-017482
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190816
FILED AS OF DATE: 20190826
DATE AS OF CHANGE: 20190826
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ryan R. Gilbertson 2012 Irrevocable Trust
CENTRAL INDEX KEY: 0001652966
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55242
FILM NUMBER: 191054138
BUSINESS ADDRESS:
STREET 1: 1000 PARKER'S LAKE RD
CITY: WAYZATA
STATE: MN
ZIP: 55391
BUSINESS PHONE: 612-598-4787
MAIL ADDRESS:
STREET 1: 1000 PARKER'S LAKE RD
CITY: WAYZATA
STATE: MN
ZIP: 55391
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Sun BioPharma, Inc.
CENTRAL INDEX KEY: 0001029125
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 870543922
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 712 VISTA BLVD #305
CITY: WACONIA
STATE: MN
ZIP: 55387
BUSINESS PHONE: 9524791196
MAIL ADDRESS:
STREET 1: 712 VISTA BLVD #305
CITY: WACONIA
STATE: MN
ZIP: 55387
FORMER COMPANY:
FORMER CONFORMED NAME: Cimarron Medical, Inc.
DATE OF NAME CHANGE: 20150602
FORMER COMPANY:
FORMER CONFORMED NAME: CIMARRON SOFTWARE INC
DATE OF NAME CHANGE: 19961217
3
1
rdgdoc.xml
FORM 3
X0206
3
2019-08-16
0
0001029125
Sun BioPharma, Inc.
SNBP
0001652966
Ryan R. Gilbertson 2012 Irrevocable Trust
8615 EAGLE CREEK CIRCLE
SAVAGE
MN
55378
1
Common Stock
575109
D
Warrants (right to buy)
4.5000
2023-12-21
Common Stock
171430
D
Warrants (right to buy)
5.0000
2021-05-16
Common Stock
47025
D
Currently exercisable in full.
/s/ Christopher R. Johnson, Trustee
2019-08-26