0001493152-20-013802.txt : 20200722
0001493152-20-013802.hdr.sgml : 20200722
20200722152400
ACCESSION NUMBER: 0001493152-20-013802
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200720
FILED AS OF DATE: 20200722
DATE AS OF CHANGE: 20200722
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Schmidt Andrew C
CENTRAL INDEX KEY: 0001301466
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38861
FILM NUMBER: 201041382
MAIL ADDRESS:
STREET 1: 1700 CARNEGIE AVE
STREET 2: SUITE 100
CITY: SANTA ANA
STATE: CA
ZIP: 92705
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
2020-07-20
0
0001642375
Guardion Health Sciences, Inc.
GHSI
0001301466
Schmidt Andrew C
15150 AVENUE OF SCIENCE,
SUITE 200
SAN DIEGO
CA
92128
0
1
0
0
Chief Financial Officer
Stock Option
1.00
2020-07-20
4
A
0
1000000
0
A
2020-09-30
2030-07-20
Common Stock
1000000
1000000
D
The Option shall vest and become exercisable in twelve (12) equal installments on the last day of each of the subsequent twelve (12) calendar quarter-end dates following the Date of Grant (the first of such dates to be September 30, 2020), subject to continued service.
/s/ Andrew C. Schmidt
2020-07-22