0001596771-17-000021.txt : 20170314 0001596771-17-000021.hdr.sgml : 20170314 20170314174614 ACCESSION NUMBER: 0001596771-17-000021 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170310 FILED AS OF DATE: 20170314 DATE AS OF CHANGE: 20170314 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Gemphire Therapeutics Inc. CENTRAL INDEX KEY: 0001638287 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 472389984 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 17199 N. LAUREL PARK DRIVE STREET 2: SUITE 401 CITY: LIVONIA STATE: MI ZIP: 48152 BUSINESS PHONE: 248-980-6538 MAIL ADDRESS: STREET 1: 17199 N. LAUREL PARK DRIVE STREET 2: SUITE 401 CITY: LIVONIA STATE: MI ZIP: 48152 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hawryluk P. Kent CENTRAL INDEX KEY: 0001673991 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37809 FILM NUMBER: 17689190 MAIL ADDRESS: STREET 1: 17199 N. LAUREL PARK DRIVE STREET 2: SUITE 401 CITY: LIVONIA STATE: MI ZIP: 48152 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-03-10 0 0001638287 Gemphire Therapeutics Inc. GEMP 0001673991 Hawryluk P. Kent 17199 N. LAUREL PARK DRIVE SUITE 401 LIVONIA MI 48152 1 0 0 0 Common Stock 2017-03-10 4 P 0 25000 9.47 A 81889 I Held by the P. Kent Hawryluk Revocable Trust Common Stock 32062 D Warrant to Purchase Common Stock 10.4 2017-03-10 4 P 0 18750 9.47 A 2017-03-10 2022-03-15 Common Stock 18750 18750 I Held by the P. Kent Hawryluk Revocable Trust The shares of common stock and warrants were purchased as part of a private placement pursuant to a Securities Purchase Agreement whereby the Issuer sold units consisting of one share of the Issuer's common stock and a warrant to purchase 0.75 shares of the Issuer's common stock at a per unit price of $9.47. The private placement is expected to close on March 15, 2017. These shares are indirectly owned by the reporting person as trustee of the P. Kent Hawryluk Revocable Trust. Stephanie Swan, by Power of Attorney 2017-03-14