0001019056-21-000008.txt : 20210105
0001019056-21-000008.hdr.sgml : 20210105
20210105060042
ACCESSION NUMBER: 0001019056-21-000008
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201231
FILED AS OF DATE: 20210105
DATE AS OF CHANGE: 20210105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DiPerna Paul
CENTRAL INDEX KEY: 0001506126
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-49671
FILM NUMBER: 21503831
MAIL ADDRESS:
STREET 1: 16772 W BERNARDO DRIVE
CITY: RANCHO BERNARDO
STATE: CA
ZIP: 92127
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Modular Medical, Inc.
CENTRAL INDEX KEY: 0001074871
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 870620495
STATE OF INCORPORATION: NV
FISCAL YEAR END: 0331
BUSINESS ADDRESS:
STREET 1: 16772 WEST BERNARDO DRIVE
CITY: SAN DIEGO
STATE: CA
ZIP: 92127
BUSINESS PHONE: 858-800-3500
MAIL ADDRESS:
STREET 1: 16772 WEST BERNARDO DRIVE
CITY: SAN DIEGO
STATE: CA
ZIP: 92127
FORMER COMPANY:
FORMER CONFORMED NAME: BEAR LAKE RECREATION INC
DATE OF NAME CHANGE: 19981208
4
1
diperna.xml
X0306
4
2020-12-31
0
0001074871
Modular Medical, Inc.
MODD
0001506126
DiPerna Paul
C/O MODULAR MEDICAL, INC.
16772 W BERNARDO DRIVE
SAN DIEGO
CA
92127
1
1
1
0
See Remarks
Common Stock, par value $0.001 per share
2020-12-31
5
S
1
E
7220400
D
7523456
I
See Footnote
Pursuant to a Stock Transfer, Assignment and Voting Agreement dated December 30,2020 (the "Stock Transfer Agreement"), by and among the Reporting Person, Paul DiPerna Irrevocable Trust, a trust organized under the laws of California (the "Irrevocable Trust"), Paul DiPerna Trust, a trust organized under the laws of California (the "Trust"), Kelsie Nicole DiPerna ("Ms. K. DiPerna"), and Alaria Michele DiPerna ("Ms. A. DiPerna"), the Reporting Person transferred and assigned 7,220,400 shares of Common Stock to the transferees thereunder, but retained all voting rights and shared disposition rights with respect to such Common Stock.
In accordance with Instruction 4 to this Form, column 7 reflects the transfer and assignment pursuant to the Stock Transfer Agreement from the Reporting Person as follows: 6,000,000 shares of Common Stock to the Irrevocable Trust, in which the Reporting Person is the trustee; 220,400 shares of Common Stock to the Trust, in which the Reporting Person is the trustee; 500,000 shares of Common Stock to Ms. K. DiPerna, the Reporting Person's daughter and 500,000 shares of Common Stock to Ms. A. DiPerna, the Reporting Person's daughter. The transferees paid only nominal amounts for their shares of Common Stock. Prior to the transactions effected pursuant to the Stock Transfer Agreement, the Trust held 303,030 shares of Common Stock.
Title: Chairman, Chief Executive Officer, Chief Financial Officer, Secretary and Treasurer
/s/ Paul DiPerna
2021-01-05