0001628280-17-001118.txt : 20170210 0001628280-17-001118.hdr.sgml : 20170210 20170210165952 ACCESSION NUMBER: 0001628280-17-001118 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20170210 DATE AS OF CHANGE: 20170210 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CUMBERLAND PHARMACEUTICALS INC CENTRAL INDEX KEY: 0001087294 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-85205 FILM NUMBER: 17594394 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: CUMBERLAND PHARMACEUTICALS INC CENTRAL INDEX KEY: 0001087294 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 FILING VALUES: FORM TYPE: SC 13G 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 SC 13G 1 schedule13g-ajkazimi2016.htm SC 13G - AJ KAZIMI 2016 Document


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
__________________________________________
 
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 7)* 
__________________________________________
Cumberland Pharmaceuticals Inc.
 _______________________________________
(Name of Issuer)

Common Stock 
__________________________________________
(Title of Class of Securities)


230770109
__________________________________________
(CUSIP Number)
December 31, 2016
__________________________________________ 
(Date of Event Which Requires Filing of this Statement)
 
 
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
o Rule 13d-1(b)
o Rule 13d-1(c)
x Rule 13d-1(d)
 
*
The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
 
 





 
 
 
CUSIP No. 230770109
 
 
 
 
 
 
 
 
 
 
1
 
NAMES OF REPORTING PERSONS.

A.J. Kazimi
2
 
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) Not applicable
 
(a) o
(b) o
 
3
 
SEC USE ONLY
 
4
 
CITIZENSHIP OR PLACE OF ORGANIZATION
 
United States    
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH:
  
5
  
SOLE VOTING POWER
 
5,758,845   
  
6
  
SHARED VOTING POWER
 
None    
  
7
  
SOLE DISPOSITIVE POWER
 
5,758,845
  
8
  
SHARED DISPOSITIVE POWER
 
None    
9
 
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
5,758,845   
10
 
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
 
Not applicable
 
o     
11
 
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
35.1%    
12
 
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
 
IN    
 
 
Page 2 of 5 pages





Item 1.
 
 
(a)
Name of Issuer
 
 
    
Cumberland Pharmaceuticals Inc.
 
 
(b)
Address of Issuer's Principal Executive Offices
 
 
    
2525 West End Avenue, Suite 950, Nashville, TN 37203
Item 2.
 
 
(a)
Name of Person Filing
 
 
    
A.J. Kazimi
 
 
(b)
Address of Principal Business Office or, if none, Residence
 
 
    
2525 West End Avenue, Suite 950, Nashville, TN 37203
 
 
(c)
Citizenship
 
 
    
United States
 
 
(d)
Title of Class of Securities
 
 
    
Common Stock
 
 
(e)
CUSIP Number
 
 
    
230770109

Item 3. If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:

Not applicable
 
Item 4. Ownership.
 
 
(a)
Amount beneficially owned:
 
 
    
5,758,845
 
 
(b)
Percent of class:
 
 
    
35.1%
 
Page 3 of 5 pages




 
(c)
Number of shares as to which the person has:
 
 
(i)
Sole power to vote or to direct the vote
 
 
    
5,758,845
 
 
(ii)
Shared power to vote or to direct the vote
 
 
    
None.
 
 
(iii)
Sole power to dispose or to direct the disposition of
 
    
5,758,845
 
 
(iv)
Shared power to dispose or to direct the disposition of
 
 
    
None.
Item 5. Ownership of Five Percent or Less of a Class
Not applicable
Item 6. Ownership of More than Five Percent on Behalf of Another Person.
Not applicable
Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company
Not applicable
Item 8. Identification and Classification of Members of the Group
Not applicable
Item 9. Notice of Dissolution of Group
Not applicable
Item 10. Certification
Not applicable
 
Page 4 of 5 pages






SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
 
 
February 10, 2017
 
Date
 
 
 
/s/ A.J. Kazimi*
 
Signature
 
 
 
A.J. Kazimi, Chairman and Chief Executive Officer
 
Name/Title

 
* By: /s/ Michael Bonner, as attorney-in-fact, pursuant to a Power of Attorney dated April 26, 2016 and filed with the SEC on May 27, 2016.

 
Page 5 of 5 pages