0001144204-17-051543.txt : 20171005
0001144204-17-051543.hdr.sgml : 20171005
20171005175959
ACCESSION NUMBER: 0001144204-17-051543
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171003
FILED AS OF DATE: 20171005
DATE AS OF CHANGE: 20171005
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KLEMP WALTER V
CENTRAL INDEX KEY: 0000938419
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37758
FILM NUMBER: 171125409
MAIL ADDRESS:
STREET 1: 1415 WEST LOOP NORTH
CITY: HOUSTON
STATE: TX
ZIP: 77055
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Moleculin Biotech, Inc.
CENTRAL INDEX KEY: 0001659617
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 474671999
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2575 WEST BELLFORT
STREET 2: SUITE 333
CITY: HOUSTON
STATE: TX
ZIP: 77054
BUSINESS PHONE: 713-300-5160
MAIL ADDRESS:
STREET 1: 2575 WEST BELLFORT
STREET 2: SUITE 333
CITY: HOUSTON
STATE: TX
ZIP: 77054
4
1
v476495_4.xml
OWNERSHIP DOCUMENT
X0306
4
2017-10-03
0
0001659617
Moleculin Biotech, Inc.
MBRX
0000938419
KLEMP WALTER V
C/O MOLECULIN BIOTECH, INC.
2575 WEST BELLFORT, SUITE 333
HOUSTON
TX
77054
1
1
1
0
CEO
Stock option (right to buy)
2.49
2017-10-03
4
A
0
340000
A
2027-10-03
Common stock
340000
340000
D
The stock option set forth in this table vests in four equal annual installments beginning on the first anniversary of the Transaction Date, subject to the grantee's continued service to the Company on each vesting date.
Issued in connection with the reporting person's employment with the Company.
/s/ Walter Klemp
2017-10-05