SEC Form 4 · accession 0000902664-18-001513
POLARITYTE, INC. · PTE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Barry C Honig
10% Owner
Period of report
Mar 6, 2018
Accepted (ET)
Mar 8, 2018 · 3:03 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001076682
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.001 ("Common Stock")F3 | Mar 6, 2018 | C | 163,183 | $3.00 | A | 681,583 | D | |
| Common StockF3 | Mar 6, 2018 | C | 269,608 | $8.40 | A | 951,191 | D | |
| Common StockF1,F2,F3 | Mar 6, 2018 | J | 536,954 | — | A | 781,372 | I | See footnotes |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Convertible Preferred StockF3,F4 | $3.00 | Mar 6, 2018 | C | 720,135 | D | Dec 17, 2014 | — | Common Stock | 163,183 | 0 | D |
| Series B Convertible Preferred StockF3,F4 | $8.40 | Mar 6, 2018 | C | 16,176 | D | Apr 30, 2015 | — | Common Stock | 269,608 | 0 | D |
| Series F Convertible Preferred StockF1,F2,F3,F4 | $27.50 | Mar 6, 2018 | J | 3,000 | D | Sep 20, 2017 | — | Common Stock | 300,000 | 0 | I |
| WarrantsF1,F2,F3 | $30.00 | Mar 6, 2018 | J | 150,000 | D | Sep 20, 2017 | Sep 20, 2019 | Common Stock | 150,000 | 0 | I |
Explanation of responses
- F1On March 6, 2018, the Reporting Person exchanged the Series F Convertible Preferred Stock and Warrants for shares of Common Stock as disclosed in the Issuer's Form 8-K filed with the Securities and Exchange Commission on March 7, 2018.
- F2The securities reported on this line are held by GRQ Consultants, Inc. 401K (of which Barry Honig ("Mr. Honig") is Trustee), GRQ Consultants, Inc. (of which Mr. Honig is President), GRQ Consultants, Inc. Roth 401K FBO Barry Honig (of which Mr. Honig is Trustee), GRQ Consultants, Inc. Roth 401K FBO Renee Honig (of which Mr. Honig's wife, Renee Honig, is Trustee) and/or the Barry & Renee Honig Charitable Foundation, Inc. (of which Mr. Honig is President).
- F3The Reporting Person disclaims beneficial ownership of the securities reported herein for purposes of Section 16 of the Securities and Exchange Act of 1934, as amended, except as to such extent of the Reporting Person's pecuniary interest therein.
- F4Such convertible preferred stocks have no expiration date.