0001019056-23-000017.txt : 20230105 0001019056-23-000017.hdr.sgml : 20230105 20230105214004 ACCESSION NUMBER: 0001019056-23-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230103 FILED AS OF DATE: 20230105 DATE AS OF CHANGE: 20230105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sheibley Philip Brent CENTRAL INDEX KEY: 0001895043 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41277 FILM NUMBER: 23513587 MAIL ADDRESS: STREET 1: C/O MODULAR MEDICAL, INC. STREET 2: 16772 W. BERNARDO DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92127 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Modular Medical, Inc. CENTRAL INDEX KEY: 0001074871 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 870620495 STATE OF INCORPORATION: NV FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 16772 WEST BERNARDO DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92127 BUSINESS PHONE: 858-800-3500 MAIL ADDRESS: STREET 1: 16772 WEST BERNARDO DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92127 FORMER COMPANY: FORMER CONFORMED NAME: BEAR LAKE RECREATION INC DATE OF NAME CHANGE: 19981208 4 1 sheibley.xml X0306 4 2023-01-03 0 0001074871 Modular Medical, Inc. MODD 0001895043 Sheibley Philip Brent C/O MODULAR MEDICAL, INC. 16772 W. BERNARDO DRIVE SAN DIEGO CA 92127 1 0 0 0 Common Stock 2023-01-03 4 A 0 1000 2.475 A 18639 D /s/ James Sullivan, Attorney-in-Fact for Philip Brent Sheibley 2023-01-05