0001178913-17-000851.txt : 20170322
0001178913-17-000851.hdr.sgml : 20170322
20170322161709
ACCESSION NUMBER: 0001178913-17-000851
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170320
FILED AS OF DATE: 20170322
DATE AS OF CHANGE: 20170322
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Integrity Applications, Inc.
CENTRAL INDEX KEY: 0001506983
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 980668934
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 19 HA'YAHALOMIM ST
STREET 2: P.O. BOX 12163
CITY: ASHDOD
STATE: L3
ZIP: L3 7760049
BUSINESS PHONE: 972 (8) 675-7878
MAIL ADDRESS:
STREET 1: 19 HA'YAHALOMIM ST
STREET 2: P.O. BOX 12163
CITY: ASHDOD
STATE: L3
ZIP: L3 7760049
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BOYDSTON ANGELA STRAND
CENTRAL INDEX KEY: 0001299164
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54785
FILM NUMBER: 17706850
MAIL ADDRESS:
STREET 1: C/O AEROGEN, INC.
STREET 2: 2071 STIERLIN COURT
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94043
4
1
zk1719711.xml
OWNERSHIP DOCUMENT
X0306
4
2017-03-20
0
0001506983
Integrity Applications, Inc.
IGAP
0001299164
BOYDSTON ANGELA STRAND
19 HA'YAHALOMIM ST
P.O. BOX 12163
ASHDOD
L3
7760049
ISRAEL
1
0
0
0
Common Stock, par value $0.001 per share
2017-03-20
4
A
0
13334
0
A
13334
I
By Strand Strategy
Common Stock, par value $0.001 per share
2017-03-20
4
A
0
4445
0
A
4445
D
Transferred to Strand Strategy by the Issuer pursuant to a Consulting Agreement, effective December 1, 2017, by and between the Issuer and Strand Strategy (the "Agreement"). Pursuant to the Agreement and the transactions contemplated thereby, and in consideration of Strand Strategy's performance of certain services under the Agreement, on March 20, 2017, the Board of Directors of the Issuer authorized the issuance of 13,334 shares of common stock, par value $0.001 per share, of the Issuer, to Strand Strategy. The Agreement indicates that such issuance is based on a $4.50 per share valuation.
The securities are held by Strand Strategy, of which the Reporting Person is the managing director. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of any pecuniary interest therein and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
Granted as restricted common stock, which will vest in equal monthly installments over a one year period commencing on March 20, 2017.
/s/ Angela Strand
2017-03-22