0001493152-17-002207.txt : 20170307
0001493152-17-002207.hdr.sgml : 20170307
20170307170027
ACCESSION NUMBER: 0001493152-17-002207
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170302
FILED AS OF DATE: 20170307
DATE AS OF CHANGE: 20170307
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: POLARITYTE, INC.
CENTRAL INDEX KEY: 0001076682
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 061529524
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1031
BUSINESS ADDRESS:
STREET 1: 4041-T HADLEY ROAD
CITY: S. PLAINFIELD
STATE: NJ
ZIP: 07080
BUSINESS PHONE: (732) 225-8910
MAIL ADDRESS:
STREET 1: 4041-T HADLEY ROAD
CITY: S. PLAINFIELD
STATE: NJ
ZIP: 07080
FORMER COMPANY:
FORMER CONFORMED NAME: MAJESCO ENTERTAINMENT CO
DATE OF NAME CHANGE: 20050427
FORMER COMPANY:
FORMER CONFORMED NAME: MAJESCO HOLDINGS INC
DATE OF NAME CHANGE: 20040416
FORMER COMPANY:
FORMER CONFORMED NAME: CONNECTIVCORP
DATE OF NAME CHANGE: 20010815
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dyer Jeffrey Hansen
CENTRAL INDEX KEY: 0001691209
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-51128
FILM NUMBER: 17672731
MAIL ADDRESS:
STREET 1: 4041-T HADLEY ROAD
CITY: SOUTH PLAINFIELD
STATE: NJ
ZIP: 07080
3
1
form3.xml
X0206
3
2017-03-02
0
0001076682
POLARITYTE, INC.
COOL
0001691209
Dyer Jeffrey Hansen
C/O POLARITYTE, INC.
4041-T HADLEY ROAD
S. PLAINFIELD
NJ
07080
1
0
0
0
Option to Purchase Common Stock
3.12
2016-12-07
2026-12-07
Common Stock
141000
D
The Reporting Person was appointed as a member of the Issuer's Board of Directors on March 2, 2017. The 10 year option to purchase 141,000 shares of the Issuer's common stock pursuant to the Issuer's 2017 Equity Incentive Plan (the "2017 Plan") will vest in 24 equal monthly installments commencing on the one month anniversary of the grant date. The 2017 Plan, the vesting and the exercise of the option are subject to stockholder approval.
/s/ Jeff Dyer
2017-03-07