0001493152-22-017374.txt : 20220621 0001493152-22-017374.hdr.sgml : 20220621 20220621161032 ACCESSION NUMBER: 0001493152-22-017374 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: Gagliano Donald A CENTRAL INDEX KEY: 0001773453 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38861 FILM NUMBER: 221028234 MAIL ADDRESS: STREET 1: 131 CARDINAL AVE CITY: SAN ANTONIO STATE: TX ZIP: 78209 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 0001773453 Gagliano Donald A 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 Donald A. Gagliano 2022-06-21