0001709243-17-000007.txt : 20170630 0001709243-17-000007.hdr.sgml : 20170630 20170630200719 ACCESSION NUMBER: 0001709243-17-000007 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170623 FILED AS OF DATE: 20170630 DATE AS OF CHANGE: 20170630 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: Anderson Mark V CENTRAL INDEX KEY: 0001710853 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54600 FILM NUMBER: 17943757 MAIL ADDRESS: STREET 1: 737 EAST SOUTH TEMPLE STREET 2: SUITE 150 CITY: SALT LAKE CITY STATE: UT ZIP: 84102 3 1 primary_doc.xml PRIMARY DOCUMENT X0206 3 2017-06-23 1 0001541884 PROLUNG INC [NONE] 0001710853 Anderson Mark V 737 EAST SOUTH TEMPLE SUITE 150 SALT LAKE CITY UT 84102 0 1 0 0 Chief Financial Officer Bryan T. Allen (Attorney-in-Fact) 2017-06-30