0001493152-22-005971.txt : 20220303 0001493152-22-005971.hdr.sgml : 20220303 20220303161539 ACCESSION NUMBER: 0001493152-22-005971 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210106 FILED AS OF DATE: 20220303 DATE AS OF CHANGE: 20220303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Scholtes Bret CENTRAL INDEX KEY: 0001490606 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38861 FILM NUMBER: 22708921 MAIL ADDRESS: STREET 1: 2105 CITY WEST BLVD. STREET 2: SUITE 500 CITY: HOUSTON STATE: TX ZIP: 77042 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: 2925 RICHMOND AVENUE STREET 2: SUITE 1200 CITY: HOUSTON STATE: TX ZIP: 77098 BUSINESS PHONE: (800) 873-5141 MAIL ADDRESS: STREET 1: 2925 RICHMOND AVENUE STREET 2: SUITE 1200 CITY: HOUSTON STATE: TX ZIP: 77098 FORMER COMPANY: FORMER CONFORMED NAME: Guardion Health Sciences, LLC DATE OF NAME CHANGE: 20150513 4 1 ownership.xml X0306 4 2021-01-06 0 0001642375 Guardion Health Sciences, Inc. GHSI 0001490606 Scholtes Bret C/O GUARDION HEALTH SCIENCES, INC. 2925 RICHMOND AVENUE, SUITE 1200 HOUSTON TX 77098 1 1 0 0 CEO and President Common Stock 2021-01-06 4 A 0 152671 A 332155 D On January 6, 2021, the Registrant issued the Reporting Person 152,671 shares (the "Shares") of the Registrant's common stock pursuant to the Employment Agreement by and between the Registrant and the Reporting Person dated January 6, 2021 which Shares vested in full on January 6, 2022. /s/ Bret Scholtes 2022-03-03