0001144204-19-019060.txt : 20190410 0001144204-19-019060.hdr.sgml : 20190410 20190410161121 ACCESSION NUMBER: 0001144204-19-019060 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190409 FILED AS OF DATE: 20190410 DATE AS OF CHANGE: 20190410 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Evans David W CENTRAL INDEX KEY: 0001717370 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38861 FILM NUMBER: 19741794 MAIL ADDRESS: STREET 1: 4141 JUTLAND DRIVE, SUITE 215 CITY: SAN DIEGO STATE: CA ZIP: 92117 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 4 1 tv518629_form4.xml FORM 4 X0306 4 2019-04-09 0 0001642375 Guardion Health Sciences, Inc. GHSI 0001717370 Evans David W 4141 JUTLAND DRIVE, SUITE 215 SAN DIEGO CA 92117 1 1 0 0 Chief Scientific Officer Common Stock 2019-04-09 4 A 0 6500 4.00 A 1502500 D /s/ Vincent J. Roth, attorney-in-fact for David W. Evans 2019-04-10