0001493152-20-016372.txt : 20200819 0001493152-20-016372.hdr.sgml : 20200819 20200819212849 ACCESSION NUMBER: 0001493152-20-016372 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200817 FILED AS OF DATE: 20200819 DATE AS OF CHANGE: 20200819 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEINGARTEN ROBERT N CENTRAL INDEX KEY: 0001135337 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38861 FILM NUMBER: 201118512 MAIL ADDRESS: STREET 1: 5439 LOCKHURST DRIVE CITY: WOODLAND HILLS STATE: CA ZIP: 91367 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Guardion Health Sciences, Inc. CENTRAL INDEX KEY: 0001642375 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 474428421 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 15150 AVENUE OF SCIENCE, SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92128 BUSINESS PHONE: 858-605-9055 MAIL ADDRESS: STREET 1: 15150 AVENUE OF SCIENCE, SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92128 FORMER COMPANY: FORMER CONFORMED NAME: Guardion Health Sciences, LLC DATE OF NAME CHANGE: 20150513 4 1 ownership.xml X0306 4 2020-08-17 0 0001642375 Guardion Health Sciences, Inc. GHSI 0001135337 WEINGARTEN ROBERT N 15150 AVENUE OF SCIENCE, SUITE 200 SAN DIEGO CA 92128 1 0 0 0 Stock option (right to buy) 1.00 2020-08-17 4 A 0 250000 0 A 2020-08-17 2030-08-17 Common Stock 250000 250000 D Subject to the stockholders' approval of an increase in the number of shares available under the Company's 2018 Equity Incentive Plan, 50% of the stock options shall vest on the date of grant and the remaining 50% of the stock options shall vest in equal quarterly installments thereafter until fully vested. /s/ Vincent J. Roth, Power of attorney 2020-08-19