0001415889-18-001464.txt : 20181003 0001415889-18-001464.hdr.sgml : 20181003 20181003105025 ACCESSION NUMBER: 0001415889-18-001464 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181001 FILED AS OF DATE: 20181003 DATE AS OF CHANGE: 20181003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JAFFE LEWIS CENTRAL INDEX KEY: 0001215963 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52369 FILM NUMBER: 181104065 MAIL ADDRESS: STREET 1: C/O WIRE ONE TECHNOLOGIES INC STREET 2: 225 LONG AVENUE CITY: HILLSIDE STATE: NJ ZIP: 07205 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FITLIFE BRANDS, INC. CENTRAL INDEX KEY: 0001374328 STANDARD INDUSTRIAL CLASSIFICATION: MEDICINAL CHEMICALS & BOTANICAL PRODUCTS [2833] IRS NUMBER: 000000000 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5214 S. 136TH STREET CITY: OMAHA STATE: NE ZIP: 68137 BUSINESS PHONE: 402-884-1894 MAIL ADDRESS: STREET 1: 5214 S. 136TH STREET CITY: OMAHA STATE: NE ZIP: 68137 FORMER COMPANY: FORMER CONFORMED NAME: BOND LABORATORIES, INC. DATE OF NAME CHANGE: 20060831 4 1 form4-10032018_071011.xml X0306 4 2018-10-01 0001374328 FITLIFE BRANDS, INC. FTLF 0001215963 JAFFE LEWIS 5214 S. 136TH STREET OMAHA NE 68137 true false false false Common Stock 2018-10-01 4 A 0 9147 A 135545 D Shares issued in lieu of board fees in connection with the Reporting Person's service on the Issuer's Board of Directors. /s/ Lewis Jaffe 2018-10-03