SEC Form 4 · accession 0001493152-17-012788
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
Nov 10, 2017
Accepted (ET)
Nov 13, 2017 · 6:40 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,F3 | Nov 10, 2017 | A | 40,000 | $0.00 | A | 380,923 | D | |
| Common stock, par value $0.001 per shareF4,F5,F3 | Nov 10, 2017 | A | 7,500 | $0.00 | A | 380,923 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OptionF6,F7,F8 | $24.59 | Nov 10, 2017 | A | 60,000 | A | — | Nov 10, 2027 | Common Stock | 60,000 | 32,500 | D |
Explanation of responses
- F1Represents a restricted stock award under the PolarityTE, Inc. 2017 Equity Incentive Plan (the "Restricted Stock Award"), of which one-half shall vest on the date of grant and one-half shall vest in twenty four (24) equal monthly installments on the one month anniversary of the grant date.
- F2Restricted Stock Award is issued as a performance award for the Reporting Person's role as Chief Financial Officer and a director of the Issuer.
- F3Includes shares vested or to be vested within 60 days.
- F4Represents a restricted stock award under the PolarityTE, Inc. 2017 Equity Incentive Plan (the "Second Restricted Stock Award"), which shall vest immediately on the date of grant
- F5Second Restricted Stock Award is in connection with the Reporting Person entering into a new employment agreement with the Issuer.
- F6Represents an option award under the PolarityTE, Inc. 2017 Equity Incentive Plan (the "Option Award"), of which one-half shall vest on the date of grant and one-half shall vest in twenty four (24) equal monthly installments on the one month anniversary of the grant date.
- F7Option Award is compensation for the Reporting Person's service as Chief Financial Officer and director of the Issuer.
- F8Includes options vested or to be vested within 60 days pursuant to the Option Award.