0001437749-21-013591.txt : 20210527
0001437749-21-013591.hdr.sgml : 20210527
20210527204834
ACCESSION NUMBER: 0001437749-21-013591
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210525
FILED AS OF DATE: 20210527
DATE AS OF CHANGE: 20210527
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cullen Michael T.
CENTRAL INDEX KEY: 0001652996
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39468
FILM NUMBER: 21975443
MAIL ADDRESS:
STREET 1: 712 VISTA BLVD, #305
CITY: WACONIA
STATE: MN
ZIP: 55387
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
2021-05-25
0001029125
Panbela Therapeutics, Inc.
PBLA
0001652996
Cullen Michael T.
712 VISTA BLVD #305
WACONIA
MN
55387
1
1
Common Stock
2021-05-25
4
A
0
4316
0
A
216811
D
Common Stock
204576
I
By Cullen Living Trust Dated April 23, 2009
Stock Option (right to buy)
4.17
2021-05-25
4
A
0
12368
0
A
2031-05-25
Common Stock
12368
12368
D
Includes 4,500 shares previously reported as disposed of through gift transactions that were not completed.
Scheduled to vest and become exercisable in four equal increments on August 25, 2021, November 24, 2021, February 25, 2022 and the earlier of May 31, 2022 and the day before the company's annual meeting of stockholders to be held in 2022.
/s/ Joshua L. Colburn, Attorney-in-Fact
2021-05-27