0001493152-20-012487.txt : 20200702
0001493152-20-012487.hdr.sgml : 20200702
20200702142049
ACCESSION NUMBER: 0001493152-20-012487
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: Evans David W
CENTRAL INDEX KEY: 0001717370
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38861
FILM NUMBER: 201008321
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
ownership.xml
X0306
4
2020-06-30
0
0001642375
Guardion Health Sciences, Inc.
GHSI
0001717370
Evans David W
15150 AVENUE OF SCIENCE,
SUITE 200
SAN DIEGO
CA
92128
1
1
0
0
Interim CEO
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