0001493152-21-013654.txt : 20210604 0001493152-21-013654.hdr.sgml : 20210604 20210604171909 ACCESSION NUMBER: 0001493152-21-013654 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210602 FILED AS OF DATE: 20210604 DATE AS OF CHANGE: 20210604 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sheehan Craig CENTRAL INDEX KEY: 0001865983 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38861 FILM NUMBER: 21997430 MAIL ADDRESS: STREET 1: 15150 AVENUE OF SCIENCE, SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92128 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 2021-06-02 0 0001642375 Guardion Health Sciences, Inc. GHSI 0001865983 Sheehan Craig C/O GUARDION HEALTH SCIENCES, INC. 15150 AVENUE OF SCIENCE SUITE 200 SAN DIEGO CA 92128 0 1 0 0 Chief Commercial Officer Employee Stock Option (right to buy) 1.61 2021-06-02 4 A 0 50000 0 A 2031-06-02 Common Stock 50000 50000 D Restricted Stock Units 2021-06-02 4 A 0 50000 0 A Common Stock 50000 50000 D 33.3% of the stock options shall vest on June 30, 2022, 33.3% of the stock options shall vest on June 30, 2023 and the remainder of the stock options shall vest on June 30, 2024. Each restricted stock unit ("RSU") represents a contingent right to receive one share of GHSI common stock. 33.3% of the RSUs shall vest on June 30, 2022, 33.3% of the stock options shall vest on June 30, 2023 and the remainder of the stock options shall vest on June 30, 2024. Vested shares will be delivered to the reporting person within 30 calendar days following the date on which such RSU becomes vested. /s/ Craig Sheehan 2021-06-04