0001140361-12-016404.txt : 20120319 0001140361-12-016404.hdr.sgml : 20120319 20120319130734 ACCESSION NUMBER: 0001140361-12-016404 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120318 FILED AS OF DATE: 20120319 DATE AS OF CHANGE: 20120319 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rafaeli Dolev CENTRAL INDEX KEY: 0001536967 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11635 FILM NUMBER: 12699974 MAIL ADDRESS: STREET 1: C/O PHOTOMEDEX, INC. STREET 2: 147 KEYSTONE DRIVE CITY: MONTGOMERYVILLE STATE: PA ZIP: 18936 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PHOTOMEDEX INC CENTRAL INDEX KEY: 0000711665 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 592858100 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 147 KEYSTONE DRIVE CITY: MONTGOMERYVILLE STATE: PA ZIP: 18936 BUSINESS PHONE: 2156193600 MAIL ADDRESS: STREET 1: 147 KEYSTONE DRIVE CITY: MONTGOMERYVILLE STATE: PA ZIP: 18936 FORMER COMPANY: FORMER CONFORMED NAME: LASER PHOTONICS INC DATE OF NAME CHANGE: 19920703 4 1 doc1.xml FORM 4 X0304 4 2012-03-18 0 0000711665 PHOTOMEDEX INC PHMD 0001536967 Rafaeli Dolev PHOTOMEDEX, INC. 147 KEYSTONE DRIVE MONTGOMERYVILLE PA 18936 1 1 1 0 CEO PhotoMedex Stock Options 20.00 2012-03-18 4 A 0 140000 0 A 2013-03-18 2022-03-18 PhotoMedex Common Stock 140000 140000 D Options vest 20% on each of the first five (5) anniversaries of the Grant Date:3/18/13; 3/18/14; 3/18/15; 3/18/16; 3/18/17. Options vest immediately on a Change of Control, per Optionee's Employment Agreement. /s/ Dolev Rafaeli 2012-03-19