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