0001437749-21-015272.txt : 20210621
0001437749-21-015272.hdr.sgml : 20210621
20210621162051
ACCESSION NUMBER: 0001437749-21-015272
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210616
FILED AS OF DATE: 20210621
DATE AS OF CHANGE: 20210621
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PICKER DONALD H
CENTRAL INDEX KEY: 0001266800
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37758
FILM NUMBER: 211030840
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Moleculin Biotech, Inc.
CENTRAL INDEX KEY: 0001659617
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 474671999
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5300 MEMORIAL DRIVE
STREET 2: SUITE 950
CITY: HOUSTON
STATE: TX
ZIP: 77007
BUSINESS PHONE: 713-300-5160
MAIL ADDRESS:
STREET 1: 5300 MEMORIAL DRIVE
STREET 2: SUITE 950
CITY: HOUSTON
STATE: TX
ZIP: 77007
4
1
rdgdoc.xml
FORM 4
X0306
4
2021-06-16
0001659617
Moleculin Biotech, Inc.
MBRX
0001266800
PICKER DONALD H
C/O MOLECULIN BIOTECH, INC.
5300 MEMORIAL DR., SUITE 950
HOUSTON
TX
77007
1
Chief Science Officer
Stock option (right to buy)
3.73
2021-06-16
4
A
0
62676
A
2031-06-16
Common Stock
62676
118510
D
The options set forth in this table vest in four equal annual installments, beginning on the first anniversary of the Transaction Date, subject to the grantee's continued service to the Company on each vesting date.
Issued in connection with the reporting person's employment with the Company.
/s/ Donald Picker
2021-06-21