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