0001209191-23-020351.txt : 20230321 0001209191-23-020351.hdr.sgml : 20230321 20230321172843 ACCESSION NUMBER: 0001209191-23-020351 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230114 FILED AS OF DATE: 20230321 DATE AS OF CHANGE: 20230321 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACOBS JOEY A CENTRAL INDEX KEY: 0001243878 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33637 FILM NUMBER: 23750608 MAIL ADDRESS: STREET 1: 830 CRESCENT CENTER DRIVE STREET 2: SUITE 610 CITY: FRANKLIN STATE: TN ZIP: 37067 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CUMBERLAND PHARMACEUTICALS INC CENTRAL INDEX KEY: 0001087294 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2525 WEST END AVENUE STREET 2: SUITE 950 CITY: NASHVILLE, STATE: TN ZIP: 37203 BUSINESS PHONE: 615-255-0068 MAIL ADDRESS: STREET 1: 2525 WEST END AVENUE STREET 2: SUITE 950 CITY: NASHVILLE STATE: TN ZIP: 37203 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-01-14 1 0001087294 CUMBERLAND PHARMACEUTICALS INC CPIX 0001243878 JACOBS JOEY A 1600 WEST END AVENUE SUITE 1300 NASHVILLE TN 37203 1 0 0 0 0 Common Stock 2023-01-14 4 J 0 5000 2.75 D 98415 D Mr. Jacobs passed away January 14, 2023. All unvested equity awards forfeited upon death. Joey A. Jacobs by /s/ John Hamm as attorney-in-fact 2023-03-21