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