0001708381-17-000003.txt : 20170628 0001708381-17-000003.hdr.sgml : 20170628 20170628143616 ACCESSION NUMBER: 0001708381-17-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170628 DATE AS OF CHANGE: 20170628 EFFECTIVENESS DATE: 20170628 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-261550 FILM NUMBER: 17934832 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/A 1 primary_doc.xml X0707 D/A LIVE 0001506983 Integrity Applications, Inc. 19 HA'YAHALOMIM ST., P.O. BOX 12163 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 L3 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 L3 7760049 Executive Officer Chief Financial Officer David Podwalski c/o Integrity Applications, Inc. 19 Ha'Yahalomim St., P.O. Box 12163 Ashdod L3 ISRAEL L3 7760049 Executive Officer Chief Commercial Officer Robert Fischell c/o Integrity Applications, Inc. 19 Ha'Yahalomim St., P.O. Box 12163 Ashdod L3 ISRAEL L3 7760049 Director Leslie Seff c/o Integrity Applications, Inc 19 Ha'Yahalomim St., P.O. Box 12163 Ashdod L3 ISRAEL L3 7760049 Director Angela Strand c/o Integrity Applications, Inc 19 Ha'Yahalomim St., P.O. Box 12163 Ashdod L3 ISRAEL L3 7760049 Executive Officer Director Vice Chairperson and interim Chief Strategy Officer (Term ends on 9/30/17) Michael Hauck c/o Integrity Applications, Inc. 19 Ha'Yahalomim St., P.O. Box 12163 Ashdod L3 ISRAEL L3 7760049 Director Revan Schwartz c/o Integrity Applications, Inc. 19 Ha'Yahalomim St., P.O. Box 12163 Ashdod L3 ISRAEL L3 7760049 Director Other Health Care $1 - $1,000,000 06b true 0001689439-17-000007 2016-04-08 true true true true false 0 Andrew Garrett, Inc. 29931 None None 52 Vanderbilt Ave., 5th Fl. New York NY NEW YORK 10017 CA CALIFORNIA CO COLORADO CT CONNECTICUT FL FLORIDA GA GEORGIA ID IDAHO IL ILLINOIS IN INDIANA KS KANSAS MD MARYLAND MA MASSACHUSETTS MN MINNESOTA MO MISSOURI MT MONTANA NE NEBRASKA NJ NEW JERSEY NY NEW YORK NC NORTH CAROLINA ND NORTH DAKOTA OH OHIO OK OKLAHOMA OR OREGON PA PENNSYLVANIA RI RHODE ISLAND SC SOUTH CAROLINA SD SOUTH DAKOTA TX TEXAS VA VIRGINIA WA WASHINGTON false 12000000 11003800 996200 false 96 1430494 0 Includes a 10% sales commission & 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/ John Graham John Graham Chief Exexutive Officer 2017-06-28