0001209191-17-033918.txt : 20170519
0001209191-17-033918.hdr.sgml : 20170519
20170519160751
ACCESSION NUMBER: 0001209191-17-033918
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170512
FILED AS OF DATE: 20170519
DATE AS OF CHANGE: 20170519
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ENDRA Life Sciences Inc.
CENTRAL INDEX KEY: 0001681682
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 260579295
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3600 GREEN COURT
STREET 2: SUITE 350
CITY: ANN ARBOR
STATE: MI
ZIP: 48105
BUSINESS PHONE: 734-335-0468
MAIL ADDRESS:
STREET 1: 3600 GREEN COURT
STREET 2: SUITE 350
CITY: ANN ARBOR
STATE: MI
ZIP: 48105
FORMER COMPANY:
FORMER CONFORMED NAME: Endra Inc.
DATE OF NAME CHANGE: 20160805
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DIGIANDOMENICO ANTHONY
CENTRAL INDEX KEY: 0001083544
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37969
FILM NUMBER: 17857877
MAIL ADDRESS:
STREET 1: 401 WILSHIRE BLVD., #1020
CITY: SANTA MONICA
STATE: CA
ZIP: 90401
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-05-12
0
0001681682
ENDRA Life Sciences Inc.
NDRA
0001083544
DIGIANDOMENICO ANTHONY
C/O ENDRA LIFE SCIENCES INC.
3600 GREEN COURT, SUITE 350
ANN ARBOR
MI
48105
1
0
0
0
Common Stock
2017-05-12
4
C
0
19426
1.40
A
58625
D
Convertible Promissory Note
1.40
2017-05-12
4
C
0
27196.00
0.00
D
2017-05-12
Common Stock
27196.00
0.00
D
Stock Options
5.00
2017-05-12
4
A
0
12000
0.00
A
2017-05-12
2022-05-12
Common Stock
12000
12000
D
These shares of Common Stock were issued upon the conversion of the Convertible Promissory Note, as described in footnote (2).
The principal amount of, and accrued interest on, the Convertible Promissory Note converted into shares of Common Stock of the Issuer at a
conversion price of $1.40 per share immediately prior to the consummation of the Issuer's initial public offering.
/s/ Anthony DiGiandomenico by Mark Busch, as attorney-in-fact
2017-05-19