<SEC-DOCUMENT>0001689439-17-000007.txt : 20170120
<SEC-HEADER>0001689439-17-000007.hdr.sgml : 20170120
<ACCEPTANCE-DATETIME>20170119202332
ACCESSION NUMBER:		0001689439-17-000007
CONFORMED SUBMISSION TYPE:	D/A
PUBLIC DOCUMENT COUNT:		1
ITEM INFORMATION:		<ITEMS>06b
FILED AS OF DATE:		20170120
DATE AS OF CHANGE:		20170119
EFFECTIVENESS DATE:		20170120

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:		17537330

	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
</SEC-HEADER>
<DOCUMENT>
<TYPE>D/A
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        <cik>0001506983</cik>
        <entityName>Integrity Applications, Inc.</entityName>
        <issuerAddress>
            <street1>19 HA'YAHALOMIM ST, P.O. Box 12163</street1>
            <city>ASHDOD</city>
            <stateOrCountry>L3</stateOrCountry>
            <stateOrCountryDescription>ISRAEL</stateOrCountryDescription>
            <zipCode>L3 7760049</zipCode>
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        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Avner</firstName>
                <lastName>Gal</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>c/o Integrity Applications, Inc.</street1>
                <street2>19 Ha'Yahalomim St., P.O. Box 12163</street2>
                <city>Ashdod</city>
                <stateOrCountry>L3</stateOrCountry>
                <stateOrCountryDescription>ISRAEL</stateOrCountryDescription>
                <zipCode>L3 7760049</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Chairman of the Board and Chief Executive Officer</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>David</firstName>
                <lastName>Malka</lastName>
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            <relatedPersonAddress>
                <street1>c/o Integrity Applications, Inc.</street1>
                <street2>19 Ha'Yahalomim St., P.O. Box 12163</street2>
                <city>Ashdod</city>
                <stateOrCountry>L3</stateOrCountry>
                <stateOrCountryDescription>ISRAEL</stateOrCountryDescription>
                <zipCode>L3 7760049</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Executive Vice President of Operations and Director</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Eran</firstName>
                <lastName>Hertz</lastName>
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                <zipCode>L3 7760049</zipCode>
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            <relationshipClarification>Chief Financial Officer</relationshipClarification>
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        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Eran</firstName>
                <lastName>Cohen</lastName>
            </relatedPersonName>
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                <street1>c/o Integrity Applications, Inc.</street1>
                <street2>19 Ha'Yahalomim St., P.O. Box 12163</street2>
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                <stateOrCountryDescription>ISRAEL</stateOrCountryDescription>
                <zipCode>L3 7760049</zipCode>
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            </relatedPersonRelationshipList>
            <relationshipClarification>Chief Operating Oficer</relationshipClarification>
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        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Robert</firstName>
                <lastName>Fischell</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>c/o Integrity Applications, Inc</street1>
                <street2>19 Ha'Yahalomim St., P.O. Box 12163</street2>
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                <stateOrCountry>L3</stateOrCountry>
                <stateOrCountryDescription>ISRAEL</stateOrCountryDescription>
                <zipCode>L3 7760049</zipCode>
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            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Leslie</firstName>
                <lastName>Seff</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>c/o Integrity Applications, Inc</street1>
                <street2>19 Ha'Yahalomim St., P.O. Box 12163</street2>
                <city>Ashdod</city>
                <stateOrCountry>L3</stateOrCountry>
                <stateOrCountryDescription>ISRAEL</stateOrCountryDescription>
                <zipCode>L3 7760049</zipCode>
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            <relationshipClarification></relationshipClarification>
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        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Angela</firstName>
                <lastName>Strand</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>c/o Integrity Applications, Inc</street1>
                <street2>19 Ha'Yahalomim St., P.O. Box 12163</street2>
                <city>Ashdod</city>
                <stateOrCountry>L3</stateOrCountry>
                <stateOrCountryDescription>ISRAEL</stateOrCountryDescription>
                <zipCode>L3 7760049</zipCode>
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            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
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        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Philip</firstName>
                <lastName>Darivoff</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>c/o Integrity Applications, Inc.</street1>
                <street2>19 Ha'Yahalomim St., P.O. Box 12163</street2>
                <city>Ashdod</city>
                <stateOrCountry>L3</stateOrCountry>
                <stateOrCountryDescription>ISRAEL</stateOrCountryDescription>
                <zipCode>L3 7760049</zipCode>
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            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Revan</firstName>
                <lastName>Schwartz</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>c/o Integrity Applications, Inc.</street1>
                <street2>19 Ha'Yahalomim St., P.O. Box 12163</street2>
                <city>Ashdod</city>
                <stateOrCountry>L3</stateOrCountry>
                <stateOrCountryDescription>ISRAEL</stateOrCountryDescription>
                <zipCode>L3 7760049</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
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    <offeringData>
        <industryGroup>
            <industryGroupType>Other Health Care</industryGroupType>
        </industryGroup>
        <issuerSize>
            <revenueRange>$1 - $1,000,000</revenueRange>
        </issuerSize>
        <federalExemptionsExclusions>
            <item>06b</item>
        </federalExemptionsExclusions>
        <typeOfFiling>
            <newOrAmendment>
                <isAmendment>true</isAmendment>
                <previousAccessionNumber>0001671513-16-000003</previousAccessionNumber>
            </newOrAmendment>
            <dateOfFirstSale>
                <value>2016-04-08</value>
            </dateOfFirstSale>
        </typeOfFiling>
        <durationOfOffering>
            <moreThanOneYear>true</moreThanOneYear>
        </durationOfOffering>
        <typesOfSecuritiesOffered>
            <isEquityType>true</isEquityType>
            <isOptionToAcquireType>true</isOptionToAcquireType>
            <isSecurityToBeAcquiredType>true</isSecurityToBeAcquiredType>
        </typesOfSecuritiesOffered>
        <businessCombinationTransaction>
            <isBusinessCombinationTransaction>false</isBusinessCombinationTransaction>
            <clarificationOfResponse></clarificationOfResponse>
        </businessCombinationTransaction>
        <minimumInvestmentAccepted>0</minimumInvestmentAccepted>
        <salesCompensationList>
            <recipient>
                <recipientName>Andrew Garrett, Inc.</recipientName>
                <recipientCRDNumber>29931</recipientCRDNumber>
                <associatedBDName>None</associatedBDName>
                <associatedBDCRDNumber>None</associatedBDCRDNumber>
                <recipientAddress>
                    <street1>52 Vanderbilt Ave., 5th Fl.</street1>
                    <city>New York</city>
                    <stateOrCountry>NY</stateOrCountry>
                    <stateOrCountryDescription>NEW YORK</stateOrCountryDescription>
                    <zipCode>10017</zipCode>
                </recipientAddress>
                <statesOfSolicitationList>
                    <state>CA</state>
                    <description>CALIFORNIA</description>
                    <state>CO</state>
                    <description>COLORADO</description>
                    <state>CT</state>
                    <description>CONNECTICUT</description>
                    <state>FL</state>
                    <description>FLORIDA</description>
                    <state>GA</state>
                    <description>GEORGIA</description>
                    <state>ID</state>
                    <description>IDAHO</description>
                    <state>IL</state>
                    <description>ILLINOIS</description>
                    <state>IN</state>
                    <description>INDIANA</description>
                    <state>KS</state>
                    <description>KANSAS</description>
                    <state>MD</state>
                    <description>MARYLAND</description>
                    <state>MA</state>
                    <description>MASSACHUSETTS</description>
                    <state>MN</state>
                    <description>MINNESOTA</description>
                    <state>MO</state>
                    <description>MISSOURI</description>
                    <state>MT</state>
                    <description>MONTANA</description>
                    <state>NE</state>
                    <description>NEBRASKA</description>
                    <state>NJ</state>
                    <description>NEW JERSEY</description>
                    <state>NY</state>
                    <description>NEW YORK</description>
                    <state>NC</state>
                    <description>NORTH CAROLINA</description>
                    <state>ND</state>
                    <description>NORTH DAKOTA</description>
                    <state>OH</state>
                    <description>OHIO</description>
                    <state>OK</state>
                    <description>OKLAHOMA</description>
                    <state>OR</state>
                    <description>OREGON</description>
                    <state>PA</state>
                    <description>PENNSYLVANIA</description>
                    <state>RI</state>
                    <description>RHODE ISLAND</description>
                    <state>SC</state>
                    <description>SOUTH CAROLINA</description>
                    <state>SD</state>
                    <description>SOUTH DAKOTA</description>
                    <state>TX</state>
                    <description>TEXAS</description>
                    <state>VA</state>
                    <description>VIRGINIA</description>
                    <state>WA</state>
                    <description>WASHINGTON</description>
                </statesOfSolicitationList>
                <foreignSolicitation>false</foreignSolicitation>
            </recipient>
        </salesCompensationList>
        <offeringSalesAmounts>
            <totalOfferingAmount>12000000</totalOfferingAmount>
            <totalAmountSold>6232800</totalAmountSold>
            <totalRemaining>5767200</totalRemaining>
            <clarificationOfResponse></clarificationOfResponse>
        </offeringSalesAmounts>
        <investors>
            <hasNonAccreditedInvestors>false</hasNonAccreditedInvestors>
            <totalNumberAlreadyInvested>78</totalNumberAlreadyInvested>
        </investors>
        <salesCommissionsFindersFees>
            <salesCommissions>
                <dollarAmount>810264</dollarAmount>
            </salesCommissions>
            <findersFees>
                <dollarAmount>0</dollarAmount>
            </findersFees>
            <clarificationOfResponse>Includes a 10% sales commission &amp; 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.</clarificationOfResponse>
        </salesCommissionsFindersFees>
        <useOfProceeds>
            <grossProceedsUsed>
                <dollarAmount>0</dollarAmount>
            </grossProceedsUsed>
            <clarificationOfResponse></clarificationOfResponse>
        </useOfProceeds>
        <signatureBlock>
            <authorizedRepresentative>false</authorizedRepresentative>
            <signature>
                <issuerName>Integrity Applications, Inc.</issuerName>
                <signatureName>/s/ Avner Gal</signatureName>
                <nameOfSigner>Avner Gal</nameOfSigner>
                <signatureTitle>Chief Exexutive Officer</signatureTitle>
                <signatureDate>2017-01-10</signatureDate>
            </signature>
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</SEC-DOCUMENT>
