SEC Form 4 · accession 0001415889-16-007548
POLARITYTE, INC. · PTE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John Stetson
Officer — CHIEF FINANCIAL OFFICER · Director
Period of report
Dec 1, 2016
Accepted (ET)
Dec 6, 2016 · 6:00 am 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 per shareF1,F2 | Dec 1, 2016 | A | 175,000 | — | A | 320,801 | D | |
| Common stock, par value $0.001 per shareF3 | Dec 2, 2016 | P$0 | 11,621 | — | A | 332,422 | D | |
| Common stock, par value $0.001 per shareF4 | Dec 2, 2016 | P$0 | 5,555 | — | A | 19,444 | I | See footnote |
| Common stock, par value $0.001 per shareF5 | Dec 2, 2016 | P$0 | 5,555 | — | A | 19,444 | I | See footnote |
| Series A Convertible Preferred StockF3 | Dec 2, 2016 | C | 11,621 | — | D | 0 | D | |
| Series D Convertible Preferred StockF4 | Dec 2, 2016 | C | 556 | — | D | 0 | I | See footnote |
| Series D Convertible Preferred StockF4,F5 | Dec 2, 2016 | C | 556 | — | D | 0 | I | See footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents a restricted stock award (the "Restricted Stock Award") pursuant to the Issuer's 2017 Equity Incentive Plan (the "Plan"), which Plan is subject to stockholder approval.
- F2Represents (i) the Restricted Stock Award, (ii) a restricted stock award of 50,000 shares granted pursuant to the Issuer's 2014 Equity Incentive Plan, (iii) a restricted stock award of 87,500 shares granted pursuant to the Issuer's 2016 Equity Incentive Plan of which 50% vested on April 25, 2016 and 50% vested on December 1, 2016 and (iv) 8,301 shares of the Issuer's common stock.
- F3On December 2, 2016, the Reporting Person converted 11,621 shares of the Issuer's Series A Convertible Preferred Stock at a conversion rate of one share of common stock for one share of Series A Convertible Preferred Stock.
- F4On December 2, 2016, Stetson Capital Investments, Inc. converted 555.5 shares of the Issuer's Series D Convertible Preferred Stock at a conversion rate of ten shares of common stock for one share of Series D Convertible Preferred Stock. John Stetson is the President of Stetson Capital Investments, Inc. and in such capacity has voting and dispositive control over the securities held by such entity.
- F5On December 2, 2016, Stetson Capital Investments, Inc. Retirement Plan converted 555.5 shares of the Issuer's Series D Convertible Preferred Stock at a conversion rate of ten shares of common stock for one share of Series D Convertible Preferred Stock. John Stetson is the Trustee of Stetson Capital Investments, Inc. Retirement Plan and in such capacity has voting and dispositive control over the securities held by such entity.