0001256439-12-000004.txt : 20120403 0001256439-12-000004.hdr.sgml : 20120403 20120403083743 ACCESSION NUMBER: 0001256439-12-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120402 FILED AS OF DATE: 20120403 DATE AS OF CHANGE: 20120403 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ferguson Robert L CENTRAL INDEX KEY: 0001405597 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11596 FILM NUMBER: 12735418 MAIL ADDRESS: STREET 1: 2753 HOLY NAMES PLACE. V-28 CITY: LAKE OSWEGO STATE: OR ZIP: 97034 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PERMA FIX ENVIRONMENTAL SERVICES INC CENTRAL INDEX KEY: 0000891532 STANDARD INDUSTRIAL CLASSIFICATION: HAZARDOUS WASTE MANAGEMENT [4955] IRS NUMBER: 581954497 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8302 DUNWOODY PLACE STREET 2: SUITE 250 CITY: ATLANTA STATE: GA ZIP: 30350 BUSINESS PHONE: 7705879898 MAIL ADDRESS: STREET 1: 8302 DUNWOODY PLACE STREET 2: SUITE 250 CITY: ATLANTA STATE: GA ZIP: 30350 4 1 primary_doc.xml PRIMARY DOCUMENT X0305 4 2012-04-02 0 0000891532 PERMA FIX ENVIRONMENTAL SERVICES INC pesi 0001405597 Ferguson Robert L 2753 HOLY NAMES PLACE. V-28 LAKE OSWEGO OR 97034 1 0 0 0 Common Stock 2012-04-02 4 A 0 4906 1.1925 A 275266 D Common Stock 24018 I Issued to Ferguson Financial Group Common Stock 27046 I IRA Holding Stock Option 2.95 2017-08-02 Common Stock 30000 30000 D Stock Option 2.34 2018-08-05 Common Stock 12000 12000 D Stock Option 2.67 2019-07-29 Common Stock 12000 12000 D Warrant 1.5 2011-12-29 2012-05-08 Common Stock 67500 67500 D Stock Option 1.41 2021-08-24 Common Stock 30000 30000 D Held in name of Ferguson Financial Group, entity controlled by Mr Ferguson. Issued to USB Financial Services, Inc., as custodian for Robert L. Ferguson, IRA. Stock Option granted 08/02/07 under the Company's 2003 Outside Director's Stock Plan. The Options vest fully six months from date of grant. Stock Option granted 08/05/08 under the Company's 2003 Outside Director's Stock Plan. The Options vest fully six months from date of grant. Stock Option granted 07/29/09 under the Company's 2003 Outside Director's Stock Plan. The Options vest fully six months from date of grant. Stock Option granted 08/24/11 under the Company's 2003 Outside Director's Stock Plan. The Options vest fully six months from date of grant. /s/Robert L. Ferguson 2012-04-03