0001144204-19-020084.txt : 20190417
0001144204-19-020084.hdr.sgml : 20190417
20190417163754
ACCESSION NUMBER: 0001144204-19-020084
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190409
FILED AS OF DATE: 20190417
DATE AS OF CHANGE: 20190417
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gagliano Donald A
CENTRAL INDEX KEY: 0001773453
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38861
FILM NUMBER: 19753407
MAIL ADDRESS:
STREET 1: 131 CARDINAL AVE
CITY: SAN ANTONIO
STATE: TX
ZIP: 78209
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
tv518911_form3.xml
FORM 3
X0206
3
2019-04-09
0
0001642375
Guardion Health Sciences, Inc.
GHSI
0001773453
Gagliano Donald A
15150 AVENUE OF SCIENCE,
SUITE 200
SAN DIEGO
CA
92128
1
0
0
0
Common Stock
135000
D
/s/ Vincent J. Roth, Power of attorney
2019-04-17