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FORM 3
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Washington, D.C. 20549 |
OMB APPROVAL
OMB Number: 3235-0104 Expires: February 28, 2011 Estimated average burden hours per response... 0.5 |
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| 1. Name and Address of Reporting Person * Greer Lawrence W |
2. Date of Event Requiring Statement (MM/DD/YYYY)
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3. Issuer Name and Ticker or Trading Symbol CUMBERLAND PHARMACEUTICALS INC [CPIX] |
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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__ Director
_____ 10% Owner
_____ Officer (give title below) _____ Other (specify below) |
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
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_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
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1.Title of Security
(Instr. 4) |
2. Amount of Securities Beneficially Owned
(Instr. 4) |
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5) |
4. Nature of Indirect Beneficial Ownership
(Instr. 5) |
| Common Stock | 66272 | D | |
| Common Stock | 613248 | I | Held by S.C.O.U.T. Healthcare Fund, L.P. (1) |
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Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) |
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1. Title of Derivate Security
(Instr. 4) |
2. Date Exercisable and Expiration Date
(MM/DD/YYYY) |
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5) |
6. Nature of Indirect Beneficial Ownership
(Instr. 5) |
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| Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
| Options | 1/4/2002 | 1/4/2012 | Common Stock | 8000 | $1.63 | D | |
| Options | 5/19/2002 | 5/19/2011 | Common Stock | 7400 | $1.63 | D | |
| Options | 8/31/2002 | 5/1/2012 | Common Stock | 2534 | $3.13 | D | |
| Options | 12/31/2002 | 5/1/2012 | Common Stock | 2534 | $3.13 | D | |
| Options | 4/30/2003 | 5/1/2012 | Common Stock | 2532 | $3.13 | D | |
| Options | 11/15/2003 | 11/15/2013 | Common Stock | 14000 | $6.00 | D | |
| Options | 12/31/2005 | 12/31/2015 | Common Stock | 15000 | $9.00 | D | |
| Options | 5/24/2004 | 5/24/2014 | Common Stock | 43120 | $6.00 | I | Held by S.C.O.U.T. Healthcare Fund, L.P. (1) |
| Warrant | 4/15/2004 | 4/15/2014 | Common Stock | 40000 | $6.00 | I | Held by S.C.O.U.T. Healthcare Fund, L.P. (1) |
| Explanation of Responses: | |
| ( 1) | Dr. Greer serves as the President and majority shareholder of the general partner of S.C.O.U.T. Healthcare Fund, L.P., the holder of these shares. |
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Reporting Owners
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| Reporting Owner Name / Address |
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| Director | 10% Owner | Officer | Other | ||
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Greer Lawrence W
2525 WEST END AVE. SUITE 950 NASHVILLE, TN 37203 |
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Signatures
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| Lawrence W. Greer by: /s/ Jean W. Marstiller, as Attorney-in-fact | 8/10/2009 | |
| ** Signature of Reporting Person | Date | |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |
| * | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
| ** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
| Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | |