0001178913-17-003366.txt : 20171211 0001178913-17-003366.hdr.sgml : 20171211 20171211170035 ACCESSION NUMBER: 0001178913-17-003366 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171211 DATE AS OF CHANGE: 20171211 EFFECTIVENESS DATE: 20171211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Integrity Applications, Inc. CENTRAL INDEX KEY: 0001506983 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 980668934 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-300453 FILM NUMBER: 171250099 BUSINESS ADDRESS: STREET 1: 19 HA'YAHALOMIM ST STREET 2: P.O. BOX 12163 CITY: ASHDOD STATE: L3 ZIP: L3 7760049 BUSINESS PHONE: 972 (8) 675-7878 MAIL ADDRESS: STREET 1: 19 HA'YAHALOMIM ST STREET 2: P.O. BOX 12163 CITY: ASHDOD STATE: L3 ZIP: L3 7760049 D 1 primary_doc.xml X0708 D LIVE 0001506983 Integrity Applications, Inc. 19 HA'YAHALOMIM ST ASHDOD L3 ISRAEL L3 7760049 972 (8) 675-7878 DELAWARE None None Corporation true John Graham c/o Integrity Applications, Inc. 19 Ha'Yahalomim St., P.O. Box 12163 Ashdod L3 ISRAEL 7760049 Executive Officer Director Chairman of the Board and Chief Executive Officer Sami Sassoun c/o Integrity Applications, Inc. 19 Ha'Yahalomim St., P.O. Box 12163 Ashdod L3 ISRAEL 7760049 Executive Officer Chief Financial Officer David Podwalski c/o Integrity Applications, Inc. 19 Ha'Yahalomim St., P.O. Box 12163 Ashdod L3 ISRAEL 7760049 Executive Officer Chief Commercial Officer David Malka c/o Integrity Applications, Inc. 19 Ha'Yahalomim St., P.O. Box 12163 Ashdod L3 ISRAEL 7760049 Executive Officer Vice President of Operations Eugene Naidis c/o Integrity Applications, Inc. 19 Ha'Yahalomim St., P.O. Box 12163 Ashdod L3 ISRAEL 7760049 Executive Officer Director Vice President of Research and Development Robert Fischell c/o Integrity Applications, Inc. 19 Ha'Yahalomim St., P.O. Box 12163 Ashdod L3 ISRAEL 7760049 Director Leslie Seff c/o Integrity Applications, Inc. 19 Ha'Yahalomim St., P.O. Box 12163 Ashdod L3 ISRAEL 7760049 Director Angela Strand c/o Integrity Applications, Inc. 19 Ha'Yahalomim St., P.O. Box 12163 Ashdod L3 ISRAEL 7760049 Director Vice Chairperson Michael Hauck c/o Integrity Applications, Inc. 19 Ha'Yahalomim St., P.O. Box 12163 Ashdod L3 ISRAEL 7760049 Director Revan Schwartz c/o Integrity Applications, Inc. 19 Ha'Yahalomim St., P.O. Box 12163 Ashdod L3 ISRAEL 7760049 Director Other Health Care $1 - $1,000,000 06b false 2017-12-01 false true true true false 0 Andrew Garrett, Inc. 29931 None None 52 VANDERBILT AVE., 5TH FL. NEW YORK NY NEW YORK 10017 CO COLORADO DC DISTRICT OF COLUMBIA FL FLORIDA NY NEW YORK false 10000000 425000 9575000 false 6 55250 true 0 Includes a 7% sales commission, 3% as management fee & 3% expense allowance. Placement agent will also receive warrants equal to 10% of the common stock plus 10% of warrants issued to investors in the offering. 0 false Integrity Applications, Inc. /s/ John Graham John Graham Chief Executive Officer 2017-12-11