0001493152-17-003501.txt : 20170404 0001493152-17-003501.hdr.sgml : 20170404 20170404190545 ACCESSION NUMBER: 0001493152-17-003501 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161201 FILED AS OF DATE: 20170404 DATE AS OF CHANGE: 20170404 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: Bhansali Mohit CENTRAL INDEX KEY: 0001427320 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-51128 FILM NUMBER: 17740468 BUSINESS ADDRESS: BUSINESS PHONE: (212) 918-8968 MAIL ADDRESS: STREET 1: HAYNES AND BOONE, LLP STREET 2: 153 E.53RD ST, SUITE 4900 CITY: NEW YORK STATE: NY ZIP: 10022 4/A 1 form4a.xml X0306 4/A 2016-12-01 2016-12-05 0 0001076682 POLARITYTE, INC. COOL 0001427320 Bhansali Mohit C/O POLARITYTE, INC. 4041-T HADLEY ROAD S. PLAINFIELD NJ 07080 1 0 0 0 Common Stock 2016-12-01 4 A 0 15000 A 45244 D Represents a restricted stock award pursuant to the Issuer's 2017 Equity Incentive Plan (the "Restricted Stock Award"). Represents (i) the Restricted Stock Award, (ii) restricted stock awards of 1,078 shares granted pursuant to the Issuer's 2004 Equity Incentive Plan, (iii) restricted stock awards of 4,166 shares granted pursuant to the Issuer's 2014 Equity Incentive Plan and (iii) restricted stock awards of 25,000 shares granted pursuant to the Issuer's 2016 Equity Incentive Plan. /s/ Mohit Bhansali 2017-04-04