0001448051-14-000010.txt : 20140912 0001448051-14-000010.hdr.sgml : 20140912 20140912124912 ACCESSION NUMBER: 0001448051-14-000010 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140912 DATE AS OF CHANGE: 20140912 EFFECTIVENESS DATE: 20140912 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: 021-224612 FILM NUMBER: 141100165 BUSINESS ADDRESS: STREET 1: 102 HA'AVODA STREET STREET 2: P.O.BOX 432 CITY: ASHKELON STATE: L3 ZIP: 7810301 BUSINESS PHONE: 972 (8) 675-7878 MAIL ADDRESS: STREET 1: 102 HA'AVODA STREET STREET 2: P.O.BOX 432 CITY: ASHKELON STATE: L3 ZIP: 7810301 D 1 primary_doc.xml X0707 D LIVE 0001506983 Integrity Applications, Inc. 102 HA'AVODA STREET, P.O.BOX 432 ASHKELON L3 ISRAEL 7810301 972 (8) 675-7878 DELAWARE None None Corporation true 2010 Robert E. Fischell c/o Integrity Applications, Inc. 102 Ha'Avoda Street, P.O. Box 432 Ashkelon L3 ISRAEL 7810301 Director Avner Gal c/o Integrity Applications, Inc. 102 Ha'Avoda Street, P.O. Box 432 Ashkelon L3 ISRAEL 7810301 Executive Officer Director Chairman of the Board and Chief Executive Officer David Malka c/o Integrity Applications, Inc. 102 Ha'Avoda Street, P.O. Box 432 Ashkelon L3 ISRAEL 7810301 Executive Officer Director Executive Vice President of Operations Zvi Cohen c/o Integrity Applications, Inc. 102 Ha'Avoda Street, P.O. Box 432 Ashkelon L3 ISRAEL 7810301 Director Eran Hertz c/o Integrity Applications, Inc. 102 Ha'Avoda Street, P.O. Box 432 Ashkelon L3 ISRAEL 7810301 Executive Officer Chief Financial Officer Other Health Care No Revenues 06b false 2014-08-29 false true true true false 0 Andrew Garrett, Inc. 29931 None None Two Grand Central Tower 140 East 45th Street, 11th Floor New York NY NEW YORK 10017 AZ ARIZONA CA CALIFORNIA DC DISTRICT OF COLUMBIA FL FLORIDA IL ILLINOIS IN INDIANA KS KANSAS MD MARYLAND MA MASSACHUSETTS MN MINNESOTA NV NEVADA NJ NEW JERSEY NY NEW YORK OR OREGON SC SOUTH CAROLINA TX TEXAS WA WASHINGTON false 8500000 3036000 5464000 false 31 394680 true 0 Includes a 6% sales commission, 4% management fee & 3% expense allowance. Placement agent will also receive warrants equal to 10% of the common stock issuable upon conversion of the Preferred Stock plus 10% of warrants issued to investors in the offering 0 false Integrity Applications, Inc. /s/ Avner Gal Avner Gal Chief Exexutive Officer 2014-09-11