0001144204-17-013224.txt : 20170307 0001144204-17-013224.hdr.sgml : 20170307 20170307160439 ACCESSION NUMBER: 0001144204-17-013224 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170307 DATE AS OF CHANGE: 20170307 EFFECTIVENESS DATE: 20170307 FILER: 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 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-281969 FILM NUMBER: 17671991 BUSINESS ADDRESS: STREET 1: 15150 AVENUE OF SCIENCE, SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92128 BUSINESS PHONE: 858-605-9055 MAIL ADDRESS: STREET 1: 15150 AVENUE OF SCIENCE, SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92128 FORMER COMPANY: FORMER CONFORMED NAME: Guardion Health Sciences, LLC DATE OF NAME CHANGE: 20150513 D 1 primary_doc.xml X0707 D LIVE 0001642375 Guardion Health Sciences, Inc. 15150 AVENUE OF SCIENCE, SUITE 200 SAN DIEGO CA CALIFORNIA 92128 858-605-9055 DELAWARE None Guardion Health Sciences, LLC Corporation true Michael Favish 15150 AVENUE OF SCIENCE, SUITE 200 SAN DIEGO CA CALIFORNIA 92128 Executive Officer Director Other Health Care Decline to Disclose 06b false 2017-03-06 false true true false 0 2000000 50000 1950000 false 1 0 0 0 false Guardion Health Sciences, Inc. /s/ Michael Favish Michael Favish Chief Executive Officer 2017-03-07