Filing Details

Accession Number:
0001104659-16-139283
Form Type:
4
Zero Holdings:
No
Publication Time:
2016-08-12 13:27:23
Reporting Period:
2016-08-10
Filing Date:
2016-08-12
Accepted Time:
2016-08-12 13:27:23
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1638287 Gemphire Therapeutics Inc. GEMP Pharmaceutical Preparations (2834) 472389984
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1673991 Kent P. Hawryluk 43334 Seven Mile Road
Suite 1000
Northville MI 48167
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2016-08-10 7,457 $0.00 7,457 No 4 C Indirect Held by the P. Kent Hawryluk Revocable Trust
Common Stock Acquisiton 2016-08-10 816 $6.71 8,273 No 4 J Indirect Held by the P. Kent Hawryluk Revocable Trust
Common Stock Acquisiton 2016-08-10 23,616 $6.71 31,889 No 4 C Indirect Held by the P. Kent Hawryluk Revocable Trust
Common Stock Acquisiton 2016-08-10 25,000 $10.00 56,889 No 4 P Indirect Held by the P. Kent Hawryluk Revocable Trust
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect Held by the P. Kent Hawryluk Revocable Trust
No 4 J Indirect Held by the P. Kent Hawryluk Revocable Trust
No 4 C Indirect Held by the P. Kent Hawryluk Revocable Trust
No 4 P Indirect Held by the P. Kent Hawryluk Revocable Trust
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A Convertible Preferred Stock Disposition 2016-08-10 7,457 $0.00 7,457 $0.00
Common Stock 8% Convertible Subordinated Promissory Notes Disposition 2016-08-10 0 $0.00 23,616 $6.71
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
0 No 4 C Indirect
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 32,062 Direct
Footnotes
  1. The Series A Convertible Preferred Stock converted into shares of common stock, par value $0.001 per share (the "Common Stock"), of Gemphire Therapeutics Inc. (the "Company") on a one-for-one basis immediately prior to the closing of the Company's initial public offering and had no expiration date.
  2. These shares are indirectly owned by the reporting person as trustee of the P. Kent Hawryluk Trust.
  3. Represents shares of Common Stock issued for payment of accrued dividends on the Series A Convertible Preferred Stock.
  4. The notes were issued in the original principal amount of $150,000. The outstanding principal and $8,378 of accrued interest on the notes automatically converted into shares of Common Stock immediately prior to the closing of the Company's initial public offering.