0001493152-21-018350.txt : 20210802 0001493152-21-018350.hdr.sgml : 20210802 20210802200054 ACCESSION NUMBER: 0001493152-21-018350 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210801 FILED AS OF DATE: 20210802 DATE AS OF CHANGE: 20210802 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Benjamin Jeffrey S CENTRAL INDEX KEY: 0001308965 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38861 FILM NUMBER: 211137459 MAIL ADDRESS: STREET 1: 3885 CRESTWOOD PARKWAY STREET 2: SUITE 550 CITY: DULUTH STATE: GA ZIP: 30096 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Guardion Health Sciences, Inc. CENTRAL INDEX KEY: 0001642375 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 474428421 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 15150 AVENUE OF SCIENCE, SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92128 BUSINESS PHONE: 858-605-9055 MAIL ADDRESS: STREET 1: 15150 AVENUE OF SCIENCE, SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92128 FORMER COMPANY: FORMER CONFORMED NAME: Guardion Health Sciences, LLC DATE OF NAME CHANGE: 20150513 3 1 ownership.xml X0206 3 2021-08-01 1 0001642375 Guardion Health Sciences, Inc. GHSI 0001308965 Benjamin Jeffrey S C/O GUARDION HEALTH SCIENCES, INC. 15150 AVENUE OF SCIENCE, SUITE 200 SAN DIEGO CA 92128 0 1 0 0 Chief Accounting Officer Exhibit List: Exhibit 24 - Power of Attorney /s/ Bret Scholtes as Attorney-In-Fact for Jeffrey S. Benjamin 2021-08-02 EX-24 2 ex24.htm

 

POWER OF ATTORNEY

 

KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes and appoints Bret Scholtes with full power to act singly, as the undersigned’s true and lawful attorney-in-fact, with full power of substitution, to:

 

1) execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer and/or beneficial owner of Guardion Health Sciences, Inc (the “Company”), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended, and the rules thereunder;

 

2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, complete and execute any amendment or amendments thereto, and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and

 

3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact’s discretion.

 

The undersigned hereby grants to the attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact or such attorney-in-fact’s substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted.

 

This power of attorney shall remain in full force and effect until revoked by the undersigned in a signed writing delivered to the attorney-in-fact.

 

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 29th day of July, 2021.

 

  By: /s/ Jeffrey Benjamin
  Name: Jeffrey Benjamin
  Title: Chief Accounting Officer

 

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