0001659617-20-000173.txt : 20200707 0001659617-20-000173.hdr.sgml : 20200707 20200707172447 ACCESSION NUMBER: 0001659617-20-000173 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200702 FILED AS OF DATE: 20200707 DATE AS OF CHANGE: 20200707 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: 201016682 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: 5300 MEMORIAL DRIVE STREET 2: SUITE 950 CITY: HOUSTON STATE: TX ZIP: 77007 BUSINESS PHONE: 713-300-5160 MAIL ADDRESS: STREET 1: 5300 MEMORIAL DRIVE STREET 2: SUITE 950 CITY: HOUSTON STATE: TX ZIP: 77007 4 1 wf-form4_159415661342622.xml FORM 4 X0306 4 2020-07-02 0 0001659617 Moleculin Biotech, Inc. MBRX 0000938419 KLEMP WALTER V C/O MOLECULIN BIOTECH, INC. 5300 MEMORIAL DR., SUITE 950 HOUSTON TX 77007 1 1 0 0 CEO and President Stock option (right to buy) 0.928 2020-07-02 4 A 0 500000 A 2030-07-02 Common Stock 500000.0 2156907 D Restricted Stock Units 2020-07-02 4 A 0 353211 A Common Stock 353211.0 2510118 D (1) 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. (2) Issued in connection with the reporting person's employment with the Company. (3) Each restricted stock unit represents a contingent right to receive one share of Company common stock. (4) The restricted stock units 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. /s/ Walter Klemp 2020-07-07