Files filled out with Adobe Acrobat Pro, will stripe out all fields when saved with PDF sharp, 
Try it with PDF from link below.
https://drive.google.com/open?id=1rginr-O2aAPRU2bLvQ1xo32WuDWM09ynI tried adding NeedAppearances but that doesn't help
Code:
Private Sub PDFsharpSave(Path As String)
        Dim Doc As PdfDocument = IO.PdfReader.Open(Path)
        If Doc.AcroForm IsNot Nothing Then
            If Doc.AcroForm.Elements.ContainsKey("/NeedAppearances") = False Then
                Doc.AcroForm.Elements.Add("/NeedAppearances", New PdfSharp.Pdf.PdfBoolean(True))
            Else
                Doc.AcroForm.Elements("/NeedAppearances") = New PdfSharp.Pdf.PdfBoolean(True)
            End If
            Doc.Save(Path.Replace(".pdf", "_v2.pdf"))
       End If
End Sub