0001209191-21-057562.txt : 20210924
0001209191-21-057562.hdr.sgml : 20210924
20210924151855
ACCESSION NUMBER: 0001209191-21-057562
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210923
FILED AS OF DATE: 20210924
DATE AS OF CHANGE: 20210924
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Polinsky David
CENTRAL INDEX KEY: 0001726896
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38411
FILM NUMBER: 211277116
MAIL ADDRESS:
STREET 1: 90 BOOTH AVENUE
CITY: ENGLEWOOD
STATE: NJ
ZIP: 07631
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Rafael Holdings, Inc.
CENTRAL INDEX KEY: 0001713863
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE [6500]
IRS NUMBER: 822296593
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0731
BUSINESS ADDRESS:
STREET 1: 520 BROAD STREET
CITY: NEWARK
STATE: NJ
ZIP: 07120
BUSINESS PHONE: 212-658-1450
MAIL ADDRESS:
STREET 1: 520 BROAD STREET
CITY: NEWARK
STATE: NJ
ZIP: 07120
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-09-23
1
0001713863
Rafael Holdings, Inc.
RFL
0001726896
Polinsky David
C/O RAFAEL HOLDINGS, INC.
520 BROAD ST
NEWARK
NJ
07102
0
1
0
0
Former Chief Financial Officer
Class B Common Stock, par value $.01 per share
2021-09-23
4
F
0
571
35.77
D
17429
D
Represents shares withheld by the Issuer for tax purposes upon vesting of restricted stock.
Consists of 12,430 vested shares of Class B Common Stock and 4,999 unvested restricted shares of Class B Common Stock that vest as follows: 3,333 on September 23, 2022 and 1,666 on September 23, 2023.
Joyce J. Mason, by Power of Attorney
2021-09-24