0001144204-13-068553.txt : 20131220
0001144204-13-068553.hdr.sgml : 20131220
20131220201858
ACCESSION NUMBER: 0001144204-13-068553
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20131219
FILED AS OF DATE: 20131220
DATE AS OF CHANGE: 20131220
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
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: 131292963
MAIL ADDRESS:
STREET 1: 188 HEWLETT NECK ROAD
CITY: WOODMERE
STATE: NY
ZIP: 11598
4
1
v363661_4.xml
OWNERSHIP DOCUMENT
X0306
4
2013-12-19
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
2013-12-19
4
A
0
50000
0.00
A
1664588
D
Option (right to buy)
1.65
2013-12-19
4
A
0
100000
0.00
A
2014-12-19
2019-12-18
Common Stock
100000
100000
D
The transaction reported in the row involves a grant by the Issuer to the Reporting Person of the Issuer's common stock pursuant to an award agreement between the Issuer and the Reporting Person, dated as of December 19, 2013.
The transaction reported in the row involves a grant by the Issuer to the Reporting Person of options to purchase the Issuer's common stock that will vest in two annual installments beginning December 19, 2014, as detailed in a stock option award agreement between the Issuer and the Reporting Person, dated as of December 19, 2013.
/s/ Ted Karkus
2013-12-20