0001709243-17-000004.txt : 20170614
0001709243-17-000004.hdr.sgml : 20170614
20170614124838
ACCESSION NUMBER: 0001709243-17-000004
CONFORMED SUBMISSION TYPE: 3/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170210
FILED AS OF DATE: 20170614
DATE AS OF CHANGE: 20170614
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PROLUNG INC
CENTRAL INDEX KEY: 0001541884
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 201922768
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 757 EAST SOUTH TEMPLE, SUITE 150
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84102
BUSINESS PHONE: 801-204-9623
MAIL ADDRESS:
STREET 1: 757 EAST SOUTH TEMPLE, SUITE 150
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84102
FORMER COMPANY:
FORMER CONFORMED NAME: FRESH MEDICAL LABORATORIES, INC.
DATE OF NAME CHANGE: 20120209
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Smith Robin L
CENTRAL INDEX KEY: 0001365035
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54600
FILM NUMBER: 17910705
MAIL ADDRESS:
STREET 1: C/O PHASE III MEDICAL, INC.
STREET 2: 330 SOUTH SERVICE ROAD, SUITE 120
CITY: MELVILLE
STATE: NY
ZIP: 11747
3/A
1
primary_doc.xml
PRIMARY DOCUMENT
X0206
3/A
2017-02-10
2017-06-14
1
0001541884
PROLUNG INC
[NONE]
0001365035
Smith Robin L
757 EAST SOUTH TEMPLE
SUITE 150
SALT LAKE CITY
UT
84102
1
0
0
0
Bryan T. Allen (Attorney-in-Fact)
2017-06-13