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