0001135337-17-000006.txt : 20170103
0001135337-17-000006.hdr.sgml : 20170103
20170103163958
ACCESSION NUMBER: 0001135337-17-000006
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170103
DATE AS OF CHANGE: 20170103
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ROTH VINCENT J
CENTRAL INDEX KEY: 0001137897
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55723
FILM NUMBER: 17502294
MAIL ADDRESS:
STREET 1: 15150 AVENUE OF SCIENCE
STREET 2: SUITE 200
CITY: SAN DIEGO
STATE: CA
ZIP: 92128
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2016-12-31
0
0001642375
Guardion Health Sciences, Inc.
none
0001137897
ROTH VINCENT J
15150 AVENUE OF SCIENCE
SUITE 200
SAN DIEGO
CA
92128
0
1
0
0
General Counsel and Secretary
Common Stock
2016-12-31
4
A
0
15000
0
A
265000
D
Grant of restricted stock for services vesting 50% on June 30, 2017 and 50% on December 31, 2017.
Previous 250,000 restricted shares held, 100,000 of which were vesting and fully vested on January 1, 2017.
/s/ Vincent J. Roth
2016-01-03