0001493152-22-017372.txt : 20220621
0001493152-22-017372.hdr.sgml : 20220621
20220621161026
ACCESSION NUMBER: 0001493152-22-017372
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220616
FILED AS OF DATE: 20220621
DATE AS OF CHANGE: 20220621
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Goldstone Mark
CENTRAL INDEX KEY: 0001685799
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38861
FILM NUMBER: 221028232
MAIL ADDRESS:
STREET 1: 15150 AVENUE OF SCIENCE, SUITE 200
CITY: SAN DIEGO
STATE: CA
ZIP: 92128
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
2022-06-16
0
0001642375
Guardion Health Sciences, Inc.
GHSI
0001685799
Goldstone Mark
C/O GUARDION HEALTH SCIENCES, INC.
2925 RICHMOND AVENUE, SUITE 1200
HOUSTON
TX
77098
1
0
0
0
Employee Stock Option (right to buy)
0.147
2022-06-16
4
A
0
16667
0
A
2027-06-15
Common Stock
16667
16667
D
The option shall vest and become exercisable in eight equal installments on the last day of each of the subsequent eight calendar quarter-end dates following the date of grant (the first of such dates being September 30, 2022), subject to continued service on each vesting date.
/s/ Bret Scholtes as Attorney-in-Fact for Mark Goldstone
2022-06-21