SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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1. Name and Address of Reporting Person*
Greer Lawrence W

(Last) (First) (Middle)
2525 WEST END AVE.
SUITE 950

(Street)
NASHVILLE TN 37203

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/10/2009
3. Issuer Name and Ticker or Trading Symbol
CUMBERLAND PHARMACEUTICALS INC [ CPIX ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
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 66,272 D
Common Stock 613,248 I Held by S.C.O.U.T. Healthcare Fund, L.P.(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Options 01/04/2002 01/04/2012 Common Stock 8,000 1.63 D
Options 05/19/2002 05/19/2011 Common Stock 7,400 1.63 D
Options 08/31/2002 05/01/2012 Common Stock 2,534 3.13 D
Options 12/31/2002 05/01/2012 Common Stock 2,534 3.13 D
Options 04/30/2003 05/01/2012 Common Stock 2,532 3.13 D
Options 11/15/2003 11/15/2013 Common Stock 14,000 6 D
Options 12/31/2005 12/31/2015 Common Stock 15,000 9 D
Options 05/24/2004 05/24/2014 Common Stock 43,120 6 I Held by S.C.O.U.T. Healthcare Fund, L.P.(1)
Warrant 04/15/2004 04/15/2014 Common Stock 40,000 6 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.
Remarks:
Lawrence W. Greer by: /s/ Jean W. Marstiller, as Attorney-in-fact 08/10/2009
** 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.
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