0001493152-20-012483.txt : 20200702 0001493152-20-012483.hdr.sgml : 20200702 20200702141731 ACCESSION NUMBER: 0001493152-20-012483 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200630 FILED AS OF DATE: 20200702 DATE AS OF CHANGE: 20200702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gagliano Donald A CENTRAL INDEX KEY: 0001773453 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38861 FILM NUMBER: 201008275 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 4 1 ownership.xml X0306 4 2020-06-30 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 Stock Option 1.00 2020-06-30 4 A 0 100000 0 A 2020-09-30 2030-06-30 Common Stock 100000 100000 D The Option shall vest and become exercisable in eight (8) equal installments on the last day of each of the subsequent eight (8) calendar quarter-end dates following the date of grant (the first of such dates to be September 30, 2020). /s/ Vincent J. Roth, Power of attorney 2020-07-02