0001019687-15-002133.txt : 20150522
0001019687-15-002133.hdr.sgml : 20150522
20150522102850
ACCESSION NUMBER: 0001019687-15-002133
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150512
FILED AS OF DATE: 20150522
DATE AS OF CHANGE: 20150522
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ScripsAmerica, Inc.
CENTRAL INDEX KEY: 0001521476
STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-DRUGS PROPRIETARIES & DRUGGISTS' SUNDRIES [5122]
IRS NUMBER: 262598594
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: CORPORATE OFFICE CENTRE TYSONS II
STREET 2: 1650 TYSONS BOULEVARD, SUITE 1580
CITY: TYSONS CORNER
STATE: VA
ZIP: 22102
BUSINESS PHONE: 800-957-7622
MAIL ADDRESS:
STREET 1: CORPORATE OFFICE CENTRE TYSONS II
STREET 2: 1650 TYSONS BOULEVARD, SUITE 1580
CITY: TYSONS CORNER
STATE: VA
ZIP: 22102
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lewis William Austin IV
CENTRAL INDEX KEY: 0001344991
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54550
FILM NUMBER: 15884891
MAIL ADDRESS:
STREET 1: 201 E 87TH STREET
STREET 2: APT 5H
CITY: NEW YORK
STATE: NY
ZIP: 10128
4
1
lewis_f4.xml
OWNERSHIP DOCUMENT
X0306
4
2015-05-12
0
0001521476
ScripsAmerica, Inc.
SCRC
0001344991
Lewis William Austin IV
1650 TYSONS BOULEVARD, STE 1580
TYSONS CORNER
VA
22102
1
0
0
0
Common Stock
2015-05-12
4
A
0
4000
0
A
282000
D
Option
0.094
2015-05-12
4
A
0
10000
0.094
A
2015-05-12
2018-05-12
Common Stock
10000
10000
D
Grant of restricted shares of common stock to the Reporting Person for his attendance at board and/or committee meetings.
/s/ William Austin Lewis IV
2015-05-20