-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, SE0go5JMV60bnmioor26z7aPeKTVxpjsqJHnWgUTk9BklDplyptOEcCsJKRFRZyk x8MFMoue/46Mo8fdTD55gA== 0001209191-10-030399.txt : 20100525 0001209191-10-030399.hdr.sgml : 20100525 20100525214830 ACCESSION NUMBER: 0001209191-10-030399 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100521 FILED AS OF DATE: 20100525 DATE AS OF CHANGE: 20100525 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CROSSGROVE PETER A CENTRAL INDEX KEY: 0001278522 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17082 FILM NUMBER: 10858216 MAIL ADDRESS: STREET 1: C/O BINGO.COM, INC. STREET 2: 1405-1166 ALBERNI SR CITY: VANCOUVER STATE: A1 ZIP: V6E 3Z3 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: QLT INC/BC CENTRAL INDEX KEY: 0000827809 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 887 GREAT NORTHERN WAY STREET 2: - CITY: VANCOUVER STATE: A1 ZIP: V5T 4T5 BUSINESS PHONE: 6047077000 MAIL ADDRESS: STREET 1: 887 GREAT NORTHERN WAY CITY: VANCOUVER STATE: A1 ZIP: V5T 4T5 FORMER COMPANY: FORMER CONFORMED NAME: QLT PHOTO THERAPEUTICS INC DATE OF NAME CHANGE: 19960618 FORMER COMPANY: FORMER CONFORMED NAME: QUADRA LOGIC TECHNOLOGIES INC DATE OF NAME CHANGE: 19941201 4 1 c01697_4x0.xml MAIN DOCUMENT DESCRIPTION X0303 4 2010-05-21 0000827809 QLT INC/BC QLTI 0001278522 CROSSGROVE PETER A C/O QLT INC. 887 GREAT NORTHERN WAY, SUITE 101 VANCOUVER A1 V5T 4T5 BRITISH COLUMBIA, CANADA 1 0 0 0 Phantom Stock 2010-05-21 4 A 0 7500 0.00 A Common Stock 7500 45000 D Deferred stock units, which are payable only in cash. Each deferred stock unit is the economic equivalent of one share of common stock of the Issuer. The deferred stock units vest in thirty-six (36) successive and equal monthly installments measured from May 21, 2010, such that 100% of the deferred stock units will be fully vested on May 21, 2013. The deferred stock units have no fixed expiration date. Any vested deferred stock units are payable in cash upon the Reporting Person's departure from the Board of Directors of the Issuer, with any unvested deferred stock units expiring on such date. Dori Assaly, Attorney-in-Fact for Peter A. Crossgrove 2010-05-25 -----END PRIVACY-ENHANCED MESSAGE-----