0001709243-17-000006.txt : 20170614 0001709243-17-000006.hdr.sgml : 20170614 20170614180305 ACCESSION NUMBER: 0001709243-17-000006 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161101 FILED AS OF DATE: 20170614 DATE AS OF CHANGE: 20170614 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PROLUNG INC CENTRAL INDEX KEY: 0001541884 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 201922768 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 757 EAST SOUTH TEMPLE, SUITE 150 CITY: SALT LAKE CITY STATE: UT ZIP: 84102 BUSINESS PHONE: 801-204-9623 MAIL ADDRESS: STREET 1: 757 EAST SOUTH TEMPLE, SUITE 150 CITY: SALT LAKE CITY STATE: UT ZIP: 84102 FORMER COMPANY: FORMER CONFORMED NAME: FRESH MEDICAL LABORATORIES, INC. DATE OF NAME CHANGE: 20120209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nixon J Scott CENTRAL INDEX KEY: 0001709352 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54600 FILM NUMBER: 17912052 MAIL ADDRESS: STREET 1: 757 EAST SOUTH TEMPLE STREET 2: SUITE 150 CITY: SALT LAKE CITY STATE: UT ZIP: 84102 3 1 primary_doc.xml PRIMARY DOCUMENT X0206 3 2016-11-01 1 0001541884 PROLUNG INC [NONE] 0001709352 Nixon J Scott 757 EAST SOUTH TEMPLE SUITE 150 SALT LAKE CITY UT 84102 1 0 0 0 Bryan T. Allen (Attorney-in-Fact) 2017-06-14