0001437749-20-024771.txt : 20201203
0001437749-20-024771.hdr.sgml : 20201203
20201203161342
ACCESSION NUMBER: 0001437749-20-024771
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201201
FILED AS OF DATE: 20201203
DATE AS OF CHANGE: 20201203
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MATHIESEN JEFFREY S
CENTRAL INDEX KEY: 0001296853
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39468
FILM NUMBER: 201367061
MAIL ADDRESS:
STREET 1: 43334 SEVEN MILE RD.
STREET 2: SUITE 1000
CITY: NORTHVILLE
STATE: MI
ZIP: 48167
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Panbela Therapeutics, 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: Sun BioPharma, Inc.
DATE OF NAME CHANGE: 20150911
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
2020-12-01
0001029125
Panbela Therapeutics, Inc.
PBLA
0001296853
MATHIESEN JEFFREY S
712 VISTA BLVD #305
WACONIA
MN
55387
1
Common Stock
2020-12-01
4
A
0
2875
0
A
5875
D
/s/ Joshua L. Colburn, Attorney-in-Fact
2020-12-03