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