0001437749-20-012772.txt : 20200609 0001437749-20-012772.hdr.sgml : 20200609 20200609182009 ACCESSION NUMBER: 0001437749-20-012772 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200605 FILED AS OF DATE: 20200609 DATE AS OF CHANGE: 20200609 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Schaffer Paul W. CENTRAL INDEX KEY: 0001652797 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55242 FILM NUMBER: 20953068 MAIL ADDRESS: STREET 1: 712 VISTA BLVD #305 CITY: WACONIA STATE: MN ZIP: 55387 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 4 1 rdgdoc.xml FORM 4 X0306 4 2020-06-05 0001029125 Sun BioPharma, Inc. SNBP 0001652797 Schaffer Paul W. 712 VISTA BLVD #305 WACONIA MN 55387 1 Common Stock 2020-06-05 4 P 0 10000 A 134420 D Common Stock 30665 I By Paul W. Schaffer Trust Warrant (right to buy) 6 2020-06-05 4 P 0 10000 A 2020-06-05 2025-06-05 Common Stock 10000 10000 D Reported securities purchased as one share of common stock and one warrant to purchase one share of common stock for a combined price of $4.00 per "unit." /s/ Joshua L. Colburn, Attorney-in-Fact 2020-06-09