0000905718-21-001533.txt : 20211124 0000905718-21-001533.hdr.sgml : 20211124 20211124160754 ACCESSION NUMBER: 0000905718-21-001533 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211123 FILED AS OF DATE: 20211124 DATE AS OF CHANGE: 20211124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sitar Edward J CENTRAL INDEX KEY: 0001603489 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37411 FILM NUMBER: 211446495 MAIL ADDRESS: STREET 1: 39 FLAMING ARROW ROAD CITY: MAHWAH STATE: NJ ZIP: 07430 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Timber Pharmaceuticals, Inc. CENTRAL INDEX KEY: 0001504167 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 593843182 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 110 ALLEN ROAD, SUITE 401 CITY: BASKING RIDGE STATE: NJ ZIP: 07920 BUSINESS PHONE: 914-205-3481 MAIL ADDRESS: STREET 1: 110 ALLEN ROAD, SUITE 401 CITY: BASKING RIDGE STATE: NJ ZIP: 07920 FORMER COMPANY: FORMER CONFORMED NAME: BioPharmX Corp DATE OF NAME CHANGE: 20140304 FORMER COMPANY: FORMER CONFORMED NAME: THOMPSON DESIGNS INC DATE OF NAME CHANGE: 20101022 4 1 timber_fm4nov232021.xml X0306 4 2021-11-23 0 0001504167 Timber Pharmaceuticals, Inc. TMBR 0001603489 Sitar Edward J C/O TIMBER PHARMACEUTICALS, INC. 110 ALLEN ROAD, SUITE 401 BASKING RIDGE NJ 07920 1 0 0 0 Common Stock, par value $0.001 per share 2021-11-23 4 P 0 15000 .46 A 15000 D /s/ Joseph Lucchese, Power of Attorney 2021-11-24