0001493152-21-031653.txt : 20211216
0001493152-21-031653.hdr.sgml : 20211216
20211216060542
ACCESSION NUMBER: 0001493152-21-031653
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211214
FILED AS OF DATE: 20211216
DATE AS OF CHANGE: 20211216
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Daugherty Frank Joseph
CENTRAL INDEX KEY: 0001806875
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39555
FILM NUMBER: 211495920
MAIL ADDRESS:
STREET 1: 2311 SPARTAN TRAIL
CITY: SUGAR LAND
STATE: TX
ZIP: 77479
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Greenwich LifeSciences, Inc.
CENTRAL INDEX KEY: 0001799788
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 205473709
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3992 BLUEBONNET DR, BUILDING 14
CITY: STAFFORD
STATE: TX
ZIP: 77477
BUSINESS PHONE: 203-434-3290
MAIL ADDRESS:
STREET 1: 3992 BLUEBONNET DR, BUILDING 14
CITY: STAFFORD
STATE: TX
ZIP: 77477
4
1
ownership.xml
X0306
4
2021-12-14
0
0001799788
Greenwich LifeSciences, Inc.
GLSI
0001806875
Daugherty Frank Joseph
C/O GREENWICH LIFESCIENCES, INC.
3992 BLUEBONNET DR., BUILDING 14
STAFFORD
TX
77477
1
1
0
0
Chief Medical Officer
Common Stock
2021-12-14
4
P
0
1111
26.9878
A
88121
D
/s/ Frank Daugherty
2021-12-16