0001178913-17-000385.txt : 20170209 0001178913-17-000385.hdr.sgml : 20170209 20170209160036 ACCESSION NUMBER: 0001178913-17-000385 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170131 FILED AS OF DATE: 20170209 DATE AS OF CHANGE: 20170209 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Integrity Applications, Inc. CENTRAL INDEX KEY: 0001506983 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 980668934 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 19 HA'YAHALOMIM ST STREET 2: P.O. BOX 12163 CITY: ASHDOD STATE: L3 ZIP: L3 7760049 BUSINESS PHONE: 972 (8) 675-7878 MAIL ADDRESS: STREET 1: 19 HA'YAHALOMIM ST STREET 2: P.O. BOX 12163 CITY: ASHDOD STATE: L3 ZIP: L3 7760049 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SASSOUN SAMI CENTRAL INDEX KEY: 0001425780 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54785 FILM NUMBER: 17587491 MAIL ADDRESS: STREET 1: 39-06 ACKERMAN DRIVE CITY: FAIR LAWN STATE: L3 ZIP: 7760049 3 1 zk1719504.xml OWNERSHIP DOCUMENT X0206 3 2017-01-31 1 0001506983 Integrity Applications, Inc. IGAP 0001425780 SASSOUN SAMI C/O INTEGRITY APPLICATIONS, INC. 19 HA'YAHALOMIM ST. P.O. BOX 12163 ASHDOD L3 7760049 ISRAEL 0 1 0 0 Chief Financial Officer /s/ Sami Sassoun 2017-02-08