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