0001029125-17-000001.txt : 20170306 0001029125-17-000001.hdr.sgml : 20170306 20170306171200 ACCESSION NUMBER: 0001029125-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170306 DATE AS OF CHANGE: 20170306 EFFECTIVENESS DATE: 20170306 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sun BioPharma, Inc. CENTRAL INDEX KEY: 0001029125 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 870543922 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-281891 FILM NUMBER: 17668768 BUSINESS ADDRESS: STREET 1: 712 VISTA BLVD #305 CITY: WACONIA STATE: MN ZIP: 55387 BUSINESS PHONE: 9524791196 MAIL ADDRESS: STREET 1: 712 VISTA BLVD #305 CITY: WACONIA STATE: MN ZIP: 55387 FORMER COMPANY: FORMER CONFORMED NAME: Cimarron Medical, Inc. DATE OF NAME CHANGE: 20150602 FORMER COMPANY: FORMER CONFORMED NAME: CIMARRON SOFTWARE INC DATE OF NAME CHANGE: 19961217 D 1 primary_doc.xml X0707 D LIVE 0001029125 Sun BioPharma, Inc. 712 VISTA BLVD #305 WACONIA MN MINNESOTA 55387 9524791196 DELAWARE Cimarron Medical, Inc. CIMARRON SOFTWARE INC Corporation true Michael T Cullen 712 Vista Blvd #305 Waconia MN MINNESOTA 55387 Executive Officer Director Suzanne Gagnon 712 Vista Blvd #305 Waconia MN MINNESOTA 55387 Director Dalvir S Gill 712 Vista Blvd #305 Waconia MN MINNESOTA 55387 Director David B Kaysen 712 Vista Blvd #305 Waconia MN MINNESOTA 55387 Executive Officer Director Jeffrey S Mathiesen 712 Vista Blvd #305 Waconia MN MINNESOTA 55387 Director J. Robert Paulson, Jr. 712 Vista Blvd #305 Waconia MN MINNESOTA 55387 Director Paul W Schaffer 712 Vista Blvd #305 Waconia MN MINNESOTA 55387 Director D. Robert Schemel 712 Vista Blvd #305 Waconia MN MINNESOTA 55387 Director Scott Kellen 712 Vista Blvd #305 Waconia MN MINNESOTA 55387 Executive Officer Pharmaceuticals Decline to Disclose 06b false 2017-02-17 false true true Convertible promissory note and shares of common stock issuable upon conversion. false 0 5000000 1495000 3505000 false 14 0 0 0 false Sun BioPharma, Inc. /s/ Scott Kellen Scott Kellen Chief Financial Officer 2017-03-06