0001104659-21-089395.txt : 20210706 0001104659-21-089395.hdr.sgml : 20210706 20210706160631 ACCESSION NUMBER: 0001104659-21-089395 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210701 FILED AS OF DATE: 20210706 DATE AS OF CHANGE: 20210706 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gaal Lubor CENTRAL INDEX KEY: 0001822638 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37411 FILM NUMBER: 211074116 MAIL ADDRESS: STREET 1: C/O TIMBER PHARMACEUTICALS, INC. STREET 2: 900 E. HAMILTON AVENUE, SUITE 100 CITY: CAMPBELL STATE: CA ZIP: 95008 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 tm2121501-2_4.xml FORM 4 X0306 4 2021-07-01 0 0001504167 Timber Pharmaceuticals, Inc. TMBR 0001822638 Gaal Lubor C/O TIMBER PHARMACEUTICALS, INC 110 ALLEN ROAD, SUITE 401 BASKING RIDGE NJ 07920 1 0 0 0 Stock Option (right to buy) 1.18 2021-07-01 4 A 0 71893 0 A 2031-07-01 Common Stock, par value $0.001 per share 71893 71893 D The option grant was approved by the compensation committee of the board of directors of Timber Pharmaceuticals, Inc. (the "Company") on April 21, 2021, subject to stockholder approval of an amendment to the Company's 2020 Omnibus Equity Incentive Plan (the "Amendment"). The Company's stockholders approved the Amendment on July 1, 2021. The option grant will vest in 24 equal monthly installments beginning on August 1, 2021. /s/ Joseph Lucchese, Power of Attorney 2021-07-06