0001019056-21-000025.txt : 20210107
0001019056-21-000025.hdr.sgml : 20210107
20210107105301
ACCESSION NUMBER: 0001019056-21-000025
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201231
FILED AS OF DATE: 20210107
DATE AS OF CHANGE: 20210107
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Paul DiPerna Irrevocable Trust
CENTRAL INDEX KEY: 0001839325
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-49671
FILM NUMBER: 21513343
BUSINESS ADDRESS:
STREET 1: 16772 WEST BERNARDO DRIVE
CITY: SAN DIEGO
STATE: CA
ZIP: 92127
BUSINESS PHONE: 858-800-3300
MAIL ADDRESS:
STREET 1: 16772 WEST BERNARDO DRIVE
CITY: SAN DIEGO
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
3
1
ownership.xml
X0206
3
2020-12-31
0
0001074871
Modular Medical, Inc.
MODD
0001839325
Paul DiPerna Irrevocable Trust
C/O MODULAR MEDICAL, INC.
16772 W BERNARDO DRIVE
SAN DIEGO
CA
92127
0
0
0
1
See Footnote(1)
Common Stock, par value $0.001 per share
6000000
D
Pursuant to a Stock Transfer, Assignment and Voting Agreement dated December 30,2020, 6,000,000 shares of Common Stock were transferred and assigned to the Reporting Person from Paul DiPerna, but Mr. DiPerna retained all voting rights and shared disposition rights with respect to such shares of Common Stock. The Reporting Person is a trust organized under the laws of California. Mr. DiPerna is the Chairman, Chief Executive Officer, Chief Financial Officer, Secretary and Treasurer of the Issuer and the trustee of the Reporting Person.
Paul DiPerna Irrevocable Trust By: /s/ Paul DiPerna, Trustee
2021-01-07