0001493152-17-014721.txt : 20171218 0001493152-17-014721.hdr.sgml : 20171218 20171218160025 ACCESSION NUMBER: 0001493152-17-014721 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171214 FILED AS OF DATE: 20171218 DATE AS OF CHANGE: 20171218 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: 171261377 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: DE 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 form4.xml X0306 4 2017-12-14 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 $0.005 2017-12-14 4 M 0 600000 1.00 A 2909638 D Employee Stock Option (right to buy) 1.00 2017-12-14 4 M 0 600000 0 D 2017-12-14 Common Stock 600000 0 D These employee stock options vested in annual installments of 100,000, 100,000, 100,000 and 300,000 shares on December 14, 2011, 2012, 2013 and 2014, respectively. /s/ Ted Karkus 2017-12-18