0001178913-16-006958.txt : 20161115 0001178913-16-006958.hdr.sgml : 20161115 20161115174946 ACCESSION NUMBER: 0001178913-16-006958 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161109 FILED AS OF DATE: 20161115 DATE AS OF CHANGE: 20161115 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Integrity Applications, Inc. CENTRAL INDEX KEY: 0001506983 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 980668934 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 19 HA'YAHALOMIM ST STREET 2: P.O. BOX 12163 CITY: ASHDOD STATE: L3 ZIP: L3 7760049 BUSINESS PHONE: 972 (8) 675-7878 MAIL ADDRESS: STREET 1: 19 HA'YAHALOMIM ST STREET 2: P.O. BOX 12163 CITY: ASHDOD STATE: L3 ZIP: L3 7760049 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHWARTZ REVAN CENTRAL INDEX KEY: 0001690043 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54785 FILM NUMBER: 162000832 MAIL ADDRESS: STREET 1: 19 HA'YAHALOMIM ST., P.O. BOX 12163 STREET 2: C/O INTEGRITY APPLICATIONS, INC. CITY: ASHDOD STATE: L3 ZIP: 7760049 3 1 zk1619215.xml OWNERSHIP DOCUMENT X0206 3 2016-11-09 1 0001506983 Integrity Applications, Inc. IGAP 0001690043 SCHWARTZ REVAN C/O INTEGRITY APPLICATIONS, INC. 19 HA'YAHALOMIM ST. P.O. BOX 12163 ASHDOD L3 7760049 ISRAEL 1 0 0 0 /s/ Revan Schwartz 2016-11-15