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