0001493152-21-000207.txt : 20210105
0001493152-21-000207.hdr.sgml : 20210105
20210105161035
ACCESSION NUMBER: 0001493152-21-000207
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210101
FILED AS OF DATE: 20210105
DATE AS OF CHANGE: 20210105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Nolet Chris
CENTRAL INDEX KEY: 0001782814
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32404
FILM NUMBER: 21505531
MAIL ADDRESS:
STREET 1: C/O REVANCE THERAPEUTICS, INC.
STREET 2: 7555 GATEWAY BOULEVARD
CITY: NEWARK
STATE: CA
ZIP: 94560
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: POLARITYTE, INC.
CENTRAL INDEX KEY: 0001076682
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 061529524
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1960 S. 4250 WEST
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84104
BUSINESS PHONE: (800)-560-3983
MAIL ADDRESS:
STREET 1: 1960 S. 4250 WEST
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84104
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
ownership.xml
X0306
4
2021-01-01
0
0001076682
POLARITYTE, INC.
PTE
0001782814
Nolet Chris
C/O VIELA BIO, INC.,
ONE MEDIMMUNE WAY, FIRST FLOOR, AREA TWO
GAITHERSBURG
MD
20878
1
0
0
0
Stock option (Right to Buy)
0.68
2021-01-01
4
A
0
166443
0.48
A
2021-02-01
2031-01-01
Common Stock
166443
166443
D
On January 1, 2021, the reporting person was issued a common stock option under the issuer's 2017 Equity Incentive Plan for 166,443 shares vesting in 12 monthly installments beginning February 1, 2021 with a fair value of $0.48 per option share as annual compensation awarded under the issuer's non-executive director compensation plan.
/s/ Chris Nolet
2021-01-05