0001213900-24-069207.txt : 20240814 0001213900-24-069207.hdr.sgml : 20240814 20240814175751 ACCESSION NUMBER: 0001213900-24-069207 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240812 FILED AS OF DATE: 20240814 DATE AS OF CHANGE: 20240814 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Simpson Andrew CENTRAL INDEX KEY: 0001933883 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41422 FILM NUMBER: 241209887 MAIL ADDRESS: STREET 1: 550 RESERVE STREET STREET 2: SUITE 360 CITY: SOUTHLAKE STATE: TX ZIP: 76092 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Heart Test Laboratories, Inc. CENTRAL INDEX KEY: 0001468492 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 261344466 STATE OF INCORPORATION: TX FISCAL YEAR END: 0430 BUSINESS ADDRESS: STREET 1: 550 RESERVE ST, SUITE 360 CITY: SOUTHLAKE STATE: TX ZIP: 76092 BUSINESS PHONE: 682-237-7781 MAIL ADDRESS: STREET 1: 550 RESERVE ST, SUITE 360 CITY: SOUTHLAKE STATE: TX ZIP: 76092 4 1 ownership.xml X0508 4 2024-08-12 0 0001468492 Heart Test Laboratories, Inc. HSCS 0001933883 Simpson Andrew C/O HEART TEST LABORATORIES, INC., 550 RESERVE STREET, SUITE 360 SOUTHLAKE TX 76092 1 1 0 0 See Remarks 0 Common Stock, $0.001 par value 2024-08-12 4 J 0 17 A 7629 D These shares were transferred to the Reporting Person from the Simpson Family Benefit Trust. The Reporting Person was a beneficiary of such trust, but did not have voting or dispositive power over such shares. The number of shares takes into account a 1-for-100 reverse stock split of the Company's common stock which became effective on May 17, 2024. Chairman of the Board, President and Chief Executive Officer /s/ Andrew Simpson 2024-08-14