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