0001493152-17-012787.txt : 20171113
0001493152-17-012787.hdr.sgml : 20171110
20171113063909
ACCESSION NUMBER: 0001493152-17-012787
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171110
FILED AS OF DATE: 20171113
DATE AS OF CHANGE: 20171113
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mogford Jon
CENTRAL INDEX KEY: 0001691078
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-51128
FILM NUMBER: 171192928
MAIL ADDRESS:
STREET 1: C/O MEDOVEX CORP
STREET 2: 3279 HARDEE AVENUE
CITY: ATLANTA
STATE: GA
ZIP: 30341
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: 615 ARAPEEN DRIVE
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84108
BUSINESS PHONE: (385) 237-2279
MAIL ADDRESS:
STREET 1: 615 ARAPEEN DRIVE
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84108
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
4
1
form4.xml
X0306
4
2017-11-10
0
0001076682
POLARITYTE, INC.
COOL
0001691078
Mogford Jon
C/O POLARITYTE, INC
615 ARAPEEN DRIVE
SALT LAKE CITY
UT
84108
1
0
0
0
Common stock, par value $0.001 per share
2017-11-10
4
A
0
5000
0.00
A
23333
D
Option
24.59
2017-11-10
4
A
0
5000
0.00
A
2027-11-10
Common Stock
5000
416
D
Represents a restricted stock award under the PolarityTE, Inc. 2017 Equity Incentive Plan (the "Restricted Stock Award"), which shall vest in twenty four (24) equal monthly installments on the one month anniversary of the grant date.
Restricted Stock Award is issued as a performance award for the Reporting Person's service as a director of the Issuer.
Includes shares vested or to be vested within 60 days pursuant to the Restricted Stock Award.
Represents an option award under the PolarityTE, Inc. 2017 Equity Incentive Plan (the "Option Award"), which shall vest in twenty four (24) equal monthly installments on the one month anniversary of the grant date.
Option Award is issued as a performance award for the Reporting Person's service as a director of the Issuer.
Includes options vested or to be vested within 60 days pursuant to the Option Award.
/s/ Jon Mogford
2017-11-13