Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
- Peter Lynch
What is insider trading>>
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. ________)*
KemPharm, Inc.
(Name of Issuer)
Common Stock
(Title of Class of Securities)
488445 206
(CUSIP Number)
(Name, Address and Telephone Number of Person
Authorized to Receive Notices and Communications)
April 9, 2021
(Date of Event which Requires Filing of this Statement)
Check the
appropriate box to designate the rule pursuant to which this Schedule is filed:
☐ Rule 13d-1(b)
☒ Rule 13d-1(c)
☐ Rule 13d-1(d)
* The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.
The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
| CUSIP No. 488445 206 | 13G | Page 2 of 6 Pages | ||
| 1. | NAMES OF REPORTING PERSONS Samuel J. Braun |
|||
| 2. | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (see instructions) (a) ¨ (b) ¨ |
|||
| 3. | SEC USE ONLY |
|||
| 4. | CITIZENSHIP OR PLACE OF ORGANIZATION USA |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 5. | SOLE VOTING POWER 2,056,500 | ||
| 6. | SHARED VOTING POWER 0 | |||
| 7. | SOLE DISPOSITIVE POWER 2,056,500 | |||
| 8. | SHARED DISPOSITIVE POWER 0 |
| 9. | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 2,056,500 |
|||
| 10. | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (see instructions) ¨ |
|||
| 11. | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 7.2% (1) |
|||
| 12. | TYPE OF REPORTING PERSON IN |
|||
(1) Based on 28,376,321 shares of common stock outstanding as of March 10, 2021, as represented in the annual report on Form 10-K provided in the prospectus filed by KemPharm, Inc. with the Securities and Exchange Commission on March 11, 2021.
| CUSIP No. 488445 206 | 13G | Page 3 of 6 Pages |
| Item 1(a) | Name of Issuer: |
KemPharm, Inc.
| Item 1(b) | Address of Issuer's Principal Executive Offices: |
1180 Celebration Boulevard, Suite 103
Celebration, Florida 34747
| Item 2(a) | Name of Person Filing: |
Samuel J. Braun
| Item 2(b) | Address of Principal Business Office or, if none, Residence: |
5 West Main St.
Box 361
Warner, South Dakota 57479-0361
| Item 2(c) | Citizenship: |
USA
| Item 2(d) | Title of Class of Securities: |
Common Stock, par value $0.0001 (“Common Stock”)
| Item 2(e) | CUSIP Number: |
488445 206
| Item 3. | If this statement is filed pursuant to § § 240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a(n): |
| (a) | [ ] | Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o); | |
| (b) | [ ] | Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c); | |
| (c) | [ ] | Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c); | |
| (d) | [ ] | Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8); | |
| (e) | [ ] | Investment adviser in accordance with § 240.13d-1(b)(1)(ii)(E); | |
| (f) | [ ] | Employee benefit plan or endowment fund in accordance with § 240.13d-1(b)(1)(ii)(F); | |
| (g) | [ ] | Parent holding company or control person in accordance with § 240.13d-1(b)(1)(ii)(G); | |
| (h) | [ ] | Savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); | |
| (i) | [ ] | Church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); | |
| (j) | [ ] | A non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J); | |
| (k) | [ ] | Group, in accordance with § 240.13d-1(b)(1)(ii)(K). |
If filing as a non-U.S. institution in accordance with §240.13d–1(b)(1)(ii)(J), please specify the type of institution: ____
| CUSIP No. 488445 206 | 13G | Page 4 of 6 Pages |
Item 4. Ownership.
| (a) | Amount beneficially owned: |
2,056,500 shares of Common Stock
2,000,000 shares of Common Stock reported are held by the reporting person individually.
50,000 shares of Common Stock reported are held by a related entity over which shares of Common Stock the reporting person has the sole voting and dispositive power.
6,500 shares of Common Stock reported are held by a related entity over which shares of Common Stock the reporting person has the sole voting and dispositive power.
| (b) | Percent of class: | |
| 7.2% |
| (c) | Number of shares as to which the person has: |
| (i) | sole power to vote or to direct the vote: | |
| 2,056,500 | ||
| (ii) | shared power to vote or to direct the vote | |
| 0 | ||
| (iii) | sole power to dispose or to direct the disposition of: | |
| 2,056,500 | ||
| (iv) | shared power to dispose or to direct the disposition of: | |
| 0 |
| Item 5. | Ownership of Five Percent or Less of a Class |
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following. [ ]
| Item 6. | Ownership of More than Five Percent on Behalf of Another Person |
The other members of each of the related entities over which the reporting person exercises sole voting and dispositive power have the right to participate in the receipt of dividends from, and proceeds from the sale of, the shares in accordance with their respective ownership interests in such entities.
| Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company |
Not applicable.
| Item 8. | Identification and Classification of Members of the Group |
Not applicable.
| CUSIP No. 488445 206 | 13G | Page 5 of 6 Pages |
| Item 9. | Notice of Dissolution of Group |
Not applicable.
| Item 10. | Certification |
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under §240.14a-11.
[Signature Page Follows]
| CUSIP No. 488445 206 | 13G | Page 6 of 6 Pages |
SIGNATURES
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Dated: April 19, 2021
/s/ Samuel J. Braun
Samuel J. Braun