0001685799-16-000005.txt : 20161227
0001685799-16-000005.hdr.sgml : 20161226
20161227134646
ACCESSION NUMBER: 0001685799-16-000005
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161227
FILED AS OF DATE: 20161227
DATE AS OF CHANGE: 20161227
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: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55723
FILM NUMBER: 162070333
MAIL ADDRESS:
STREET 1: 15150 AVENUE OF SCIENCE
STREET 2: SUITE 200
CITY: SAN DIEGO
STATE: CA
ZIP: 92128
3
1
primary_doc.xml
PRIMARY DOCUMENT
X0206
3
2016-12-27
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
150000
D
Common Stock
100000
D
This Restricted Stock Grant was 75% vested as of October 1, 2016 and the remaining 25% is scheduled to vest on January 1, 2017.
/s/ Vincent J. Roth
2016-12-27