0001493152-21-000265.txt : 20210106 0001493152-21-000265.hdr.sgml : 20210106 20210106080015 ACCESSION NUMBER: 0001493152-21-000265 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210106 FILED AS OF DATE: 20210106 DATE AS OF CHANGE: 20210106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Scholtes Bret CENTRAL INDEX KEY: 0001490606 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38861 FILM NUMBER: 21509028 MAIL ADDRESS: STREET 1: 2105 CITY WEST BLVD. STREET 2: SUITE 500 CITY: HOUSTON STATE: TX ZIP: 77042 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Guardion Health Sciences, Inc. CENTRAL INDEX KEY: 0001642375 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 474428421 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 15150 AVENUE OF SCIENCE, SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92128 BUSINESS PHONE: 858-605-9055 MAIL ADDRESS: STREET 1: 15150 AVENUE OF SCIENCE, SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92128 FORMER COMPANY: FORMER CONFORMED NAME: Guardion Health Sciences, LLC DATE OF NAME CHANGE: 20150513 3 1 ownership.xml X0206 3 2021-01-06 0 0001642375 Guardion Health Sciences, Inc. GHSI 0001490606 Scholtes Bret C/O GUARDION HEALTH SCIENCES, INC. 15150 AVENUE OF SCIENCE, SUITE 200 SAN DIEGO CA 92128 1 1 0 0 Chief Executive Officer Common Stock 1016900 D /s/ Bret Scholtes 2021-01-06