-----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, TWDETttrm/dKOLBIJlg/n+DzKwkvxRRcOSONdDbA+VWCqcJZ3Fz1eDJmL4NYI4bS 1fe21HMFbtvXETYnWiBUfQ== 0001256441-04-000001.txt : 20040729 0001256441-04-000001.hdr.sgml : 20040729 20040729175029 ACCESSION NUMBER: 0001256441-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040727 FILED AS OF DATE: 20040729 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: 1940 NORTHWEST 67TH PLACE STREET 2: SUITE A CITY: GAINESVILLE STATE: FL ZIP: 32653 BUSINESS PHONE: 3523734200 MAIL ADDRESS: STREET 1: 1940 NW 67TH PL STREET 2: SUITE A CITY: GAINESVILLE STATE: FL ZIP: 32653 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAHAV JACK CENTRAL INDEX KEY: 0001256441 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11596 FILM NUMBER: 04940082 BUSINESS ADDRESS: STREET 1: 1940 NW 67TH PLACE, SUITE A CITY: GAINESVILLE STATE: FL ZIP: 32653 BUSINESS PHONE: 3523951377 MAIL ADDRESS: STREET 1: 1940 NW 67TH PLACE, SUITE A CITY: GAINESVILLE STATE: FL ZIP: 32653 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-07-27 0 0000891532 PERMA FIX ENVIRONMENTAL SERVICES INC PESI 0001256441 LAHAV JACK 18 CHELSEA DRIVE LIVINGSTON NJ 07039 1 0 0 0 Common Stock 2004-07-27 5 A 0 E 2400 1.875 A 582847 D Common Stock 2004-07-27 5 A 0 E 2927 1.5375 A 585774 D Common Stock 2004-07-27 5 A 0 E 3226 1.395 A 589000 D Common Stock 2004-07-27 5 A 0 E 3552 1.2668 A 592552 D Common Stock 2004-07-27 5 A 0 E 1929 2.3325 A 594481 D Common Stock 2004-07-28 5 A 0 E 2655 1.695 A 597136 D Common Stock 2004-07-28 5 A 0 E 3352 1.3425 A 600488 D Warrant 1.75 2006-07-30 Common Stock 571429 571429 D Stock Option 2.75 2011-09-20 Common Stock 15000 586429 D Stock Option 2.58 2012-11-06 Common Stock 5000 591429 D Stock Option 1.99 2013-07-29 Common Stock 12000 603429 D Stock Option 1.7 2004-07-28 5 A 0 E 12000 1.7 A 2014-07-28 Common Stock 12000 615429 D Purchased as part of a private placement offering unit in July 2001. Warrant is exerciseable over a period of five years upon grant date. Stock Option granted 09/20/01 under the Company's 1992 Outside Director's Stock Plan. The Options vest fully six months from date of grant. Stock Option granted 11/06/02 under the Company's 1992 Outside Director's Stock Plan. The Options vest fully six months from date of grant. Stock Option granted 07/29/03 under the Company's 2003 Outside Director's Stock Plan. The Options vest fully six months from date of grant. Stock Option granted 07/28/04 under the Company's 2003 Outside Director's Stock Plan. The Options vest fully six months from date of grant. /s/ Jack Lahav 2004-07-29 -----END PRIVACY-ENHANCED MESSAGE-----