0001493152-21-025657.txt : 20211018 0001493152-21-025657.hdr.sgml : 20211018 20211018112300 ACCESSION NUMBER: 0001493152-21-025657 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211014 FILED AS OF DATE: 20211018 DATE AS OF CHANGE: 20211018 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lombardo Andy CENTRAL INDEX KEY: 0001801064 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11596 FILM NUMBER: 211327669 MAIL ADDRESS: STREET 1: 8302 DUNWOODY PLACE STREET 2: SUITE 250 CITY: ATLANTA STATE: GA ZIP: 30350 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 ownership.xml X0306 4 2021-10-14 0 0000891532 PERMA FIX ENVIRONMENTAL SERVICES INC PESI 0001801064 Lombardo Andy 8302 DUNWOODY PLACE, SUITE 250 ATLANTA, GA 30350 0 1 0 0 EVP of Nuclear & Technical Svc Common Stock 5900 D Stock Option 3.15 2025-01-17 Common Stock 8000 8000 D Stock Option 3.6 2023-10-19 Common Stock 12000 12000 D Stock Option 7.005 2021-10-14 4 A 0 25000 0 A 2027-10-14 Common Stock 25000 25000 D Incentive Stock Option granted 01/17/2019 under the Company's 2017 Stock Option Plan. Option to purchase 2,000 shares is vested. Option to purchase 2,000 shares will vest on anniversary date of 1/17 in each of years 2022 to 2024. Incentive stock option granted 10/19/2017 under the Company's 2017 Stock Option Plan. Option to purchase 4,000 shares is vested.Option to purchase 4,000 shares will vest on anniversary date of 10/19 in each of years 2021 and 2022. Incentive Stock Option granted 10/14/2021 under the Company's 2017 Stock Option Plan. The Option is for a 6 year period and vests over a 5 year period, at 1/5 increment per year. /s/ Andy Lombardo 2021-10-18