0001144204-11-049709.txt : 20110825
0001144204-11-049709.hdr.sgml : 20110825
20110825133428
ACCESSION NUMBER: 0001144204-11-049709
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110823
FILED AS OF DATE: 20110825
DATE AS OF CHANGE: 20110825
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Burnett Mark A.
CENTRAL INDEX KEY: 0001459576
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-21617
FILM NUMBER: 111056100
MAIL ADDRESS:
STREET 1: 40 HEMLOCK DRIVE
CITY: ROSLYN
STATE: NY
ZIP: 11576
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ProPhase Labs, Inc.
CENTRAL INDEX KEY: 0000868278
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 232577138
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 621 N. SHADY RETREAT ROAD
CITY: DOYLESTOWN
STATE: PA
ZIP: 18901
BUSINESS PHONE: 2153450919
MAIL ADDRESS:
STREET 1: 621 N. SHADY RETREAT ROAD
CITY: DOYLESTOWN
STATE: PA
ZIP: 18901
FORMER COMPANY:
FORMER CONFORMED NAME: QUIGLEY CORP
DATE OF NAME CHANGE: 19930328
4
1
v233419_4.xml
OWNERSHIP DOCUMENT
X0304
4
2011-08-23
0
0000868278
ProPhase Labs, Inc.
PRPH
0001459576
Burnett Mark A.
621 N. SHADY RETREAT ROAD
DOYLESTOWN
PA
18901
1
0
0
0
Common Stock, par value $0.0005
2011-08-23
4
P
0
100
0.85
A
190488
D
/s/ Mark Burnett
2011-08-24