0001144204-11-070257.txt : 20111216
0001144204-11-070257.hdr.sgml : 20111216
20111216162934
ACCESSION NUMBER: 0001144204-11-070257
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111214
FILED AS OF DATE: 20111216
DATE AS OF CHANGE: 20111216
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Karkus Ted William
CENTRAL INDEX KEY: 0001457896
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-21617
FILM NUMBER: 111266699
MAIL ADDRESS:
STREET 1: 188 HEWLETT NECK ROAD
CITY: WOODMERE
STATE: NY
ZIP: 11598
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ProPhase Labs, Inc.
CENTRAL INDEX KEY: 0000868278
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 232577138
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 621 N. SHADY RETREAT ROAD
CITY: DOYLESTOWN
STATE: PA
ZIP: 18901
BUSINESS PHONE: 2153450919
MAIL ADDRESS:
STREET 1: 621 N. SHADY RETREAT ROAD
CITY: DOYLESTOWN
STATE: PA
ZIP: 18901
FORMER COMPANY:
FORMER CONFORMED NAME: QUIGLEY CORP
DATE OF NAME CHANGE: 19930328
4
1
v243265_4.xml
OWNERSHIP DOCUMENT
X0304
4
2011-12-14
0
0000868278
ProPhase Labs, Inc.
PRPH
0001457896
Karkus Ted William
621 N. SHADY RETREAT ROAD
DOYLESTOWN
PA
18901
1
1
1
0
CEO & Chairman
Common Stock, par value $0.0005
2011-12-14
4
A
0
134409
0
A
1369798
D
The transaction reported in this row involves a grant of the Issuer's common stock with respect to the Reporting Person's executive bonus for services rendered in 2011.
Includes 80,915 shares that vest on June 30, 2012.
/s/ Ted Karkus
2011-12-16