SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Lough Denver

(Last) (First) (Middle)
8 EAST BROADWAY, SUITE 320

(Street)
SALT LAKE CITY UT 84111

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
POLARITYTE, INC. [ PTE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) X Other (specify below)
Prior Director and Officer
3. Date of Earliest Transaction (Month/Day/Year)
12/03/2019
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock(1)(2) 12/03/2019 12/05/2019(3) F 5,107 D $3.12 7,331,797 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. NEW SHARE AWARDS: The Reporting Person (RP) was granted a NEW Share Award (SA) of 200,000 Restricted Stock Units (RSUs) on August 26, 2019, commencing October 1, 2019. This NEW SA vests over 18 monthly installments. On December 1, 2019, the vested installment (# 3 of 18) of 11,111 shares from the NEW SA was to occur. On December 3, 2019 an official "Transaction Confirmation" from the Issuer's Broker indicating 5,107 shares of the 11,111 RSUs vested were retained for "tax withholding, commission and fees," using a standard "Sell-to-Cover" transaction commonly utilized within the Issuer's Stock Plan Services system. DEEMED EXECUTION DATE: The reported formal Transaction Confirmation's "Settlement Date" was December 5, 2019 per Issuer's Broker.
2. PRIOR SHARE AWARDS & DISPUTE: As of this filing, the Reporting Person (RP) remains in dispute with the Issuer regarding delivery and access to PRIOR Share Awards (SAs) that were previously granted to him as a Director and Officer of the Company during 2016 - 2018 and which were included as consideration for the reduction of the summative cash "Separation Payment" as defined within his three year Executive Employment Agreement (EEA) and other formal public filings by the Issuer. The RP will publicly file detailed information, actions and disclosures for shareholders and regulators with the U.S. Security & Exchange Commission in an updated Schedule 13D/A (Amendment No. 5) for December 2019.
3. Number of Securities Beneficially Owned was calculated by adding 7,050,000 shares of common stock, 105,000 RSUs (PRIOR award 2018), 200,000 RSUs (NEW SA 2019), and then subtracting the total number of shares retained for ALL withholdings from this and prior "Sell-to-Cover" transactions (23,203 shares) as filed with EDGAR on SEC Form-4s. Footnotes 1 and 2 relate to the PRIOR and NEW SAs included in the calculation(s).
Remarks:
/s/ Denver M. Lough 12/05/2019
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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