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