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