0001437749-21-013592.txt : 20210527
0001437749-21-013592.hdr.sgml : 20210527
20210527204950
ACCESSION NUMBER: 0001437749-21-013592
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: Schaffer Paul W.
CENTRAL INDEX KEY: 0001652797
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39468
FILM NUMBER: 21975446
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
0001652797
Schaffer Paul W.
712 VISTA BLVD #305
WACONIA
MN
55387
1
Common Stock
2021-05-25
4
A
0
4316
0
A
166671
D
Common Stock
30665
I
By Paul W. Schaffer Trust
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 60 shares of common stock found to be held by the reporting person as a result of a reconciliation of Issuer records.
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