0001437749-21-027301.txt : 20211123
0001437749-21-027301.hdr.sgml : 20211123
20211123160326
ACCESSION NUMBER: 0001437749-21-027301
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211118
FILED AS OF DATE: 20211123
DATE AS OF CHANGE: 20211123
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mickle Travis C
CENTRAL INDEX KEY: 0001638365
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36913
FILM NUMBER: 211438510
MAIL ADDRESS:
STREET 1: 2656 CROSSPARK ROAD
STREET 2: SUITE 100
CITY: CORALVILLE
STATE: IA
ZIP: 52241
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: KEMPHARM, INC
CENTRAL INDEX KEY: 0001434647
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 205894398
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1180 CELEBRATION BOULEVARD, SUITE 103
CITY: CELEBRATION
STATE: FL
ZIP: 34747
BUSINESS PHONE: (321) 939-3416
MAIL ADDRESS:
STREET 1: 1180 CELEBRATION BOULEVARD, SUITE 103
CITY: CELEBRATION
STATE: FL
ZIP: 34747
FORMER COMPANY:
FORMER CONFORMED NAME: KEMPHARM INC
DATE OF NAME CHANGE: 20080507
4
1
rdgdoc.xml
FORM 4
X0306
4
2021-11-18
0001434647
KEMPHARM, INC
KMPH
0001638365
Mickle Travis C
C/O KEMPHARM, INC.
1180 CELEBRATION BOULEVARD, SUITE 103
CELEBRATION
FL
34747
1
1
President & CEO
Common Stock
2021-11-18
4
P
0
2250
8.2295
A
36521
D
Common Stock
15242
I
By Christal M.M. Mickle 2015 Gift Trust dtd 7/21/15, as trustee
Common Stock
1034
I
By Mickle Investments LLC
Common Stock
9824
I
By Travis C. Mickle 2015 Dynasty Trust dtd 7/21/15, Christal M.M. Mickle as trustee
Common Stock
96153
I
By Mickle Holdings LLC
The Reporting Person is the sole manager member of Mickle Investments, LLC.
The Reporting Person is the sole manager member of Mickle Holdings, LLC.
/s/ Timothy J. Sangiovanni, Attorney-in-Fact for Travis C. Mickle
2021-11-23