0001718008-18-000001.txt : 20180514
0001718008-18-000001.hdr.sgml : 20180514
20180514130343
ACCESSION NUMBER: 0001718008-18-000001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180508
FILED AS OF DATE: 20180514
DATE AS OF CHANGE: 20180514
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Smith Robin L
CENTRAL INDEX KEY: 0001365035
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38362
FILM NUMBER: 18829635
MAIL ADDRESS:
STREET 1: C/O PHASE III MEDICAL, INC.
STREET 2: 330 SOUTH SERVICE ROAD, SUITE 120
CITY: MELVILLE
STATE: NY
ZIP: 11747
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
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2018-05-08
0
0001541884
PROLUNG INC
None
0001365035
Smith Robin L
757 EAST SOUTH TEMPLE, SUITE 150
SALT LAKE CITY
UT
84102
1
0
0
0
Employee Stock Option (right to buy)
8
2018-05-08
4
A
0
7320
0
A
2028-05-08
Common Stock
7320
7320
D
The options vest 1/3 on date of grant, 1/3 on June 30, 2018, and 1/3 on September 30, 2018.
Robin L. Smith
2018-05-14