0001405597-11-000011.txt : 20111220
0001405597-11-000011.hdr.sgml : 20111220
20111220081012
ACCESSION NUMBER: 0001405597-11-000011
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111215
FILED AS OF DATE: 20111220
DATE AS OF CHANGE: 20111220
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: 111270731
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
X0304
4
2011-12-15
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
2011-12-15
4
G
0
64935
0
D
265328
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
2011-12-19