0001493152-23-009695.txt : 20230330 0001493152-23-009695.hdr.sgml : 20230330 20230330150035 ACCESSION NUMBER: 0001493152-23-009695 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230328 FILED AS OF DATE: 20230330 DATE AS OF CHANGE: 20230330 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: 23780019 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 X0407 4 2023-03-28 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 0 Common Stock 2023-03-28 4 M 0 12000 3.6 A 18900 D Common Stock 2023-03-28 4 F 0 3602 11.995 D 15298 D Stock Option 3.6 2023-03-28 4 M 0 12000 0 D 2023-10-19 Common Stock 12000 0 D Stock Option 3.15 2025-01-17 Common Stock 8000 8000 D Stock Option 7.005 2027-10-14 Common Stock 25000 25000 D Stock Option 3.95 2029-01-19 Common Stock 30000 30000 D On March 28, 2023, the Reporting Person exercised the incentive stock option granted 10/19/2017 under the Company's 2017 Stock Option Plan (the "2017 Plan") for the purchase of 12,000 shares of the Company's Common Stock at an exercise price of $3.60 per share (the "Option shares"). As permitted by the 2017 Plan, the Reporting Person elected to pay the exercise price of the Option Shares by having the Company withhold from the Option Shares a number of shares having a fair market value equal to the aggregate exercise price of $43,200. Since the fair market value of the Company's Common Stock on March 28, 2023 (as determined in accordance with the 2017 Plan) was $11.995 per share, the Company withheld 3,602 shares of Common Stock ($43,200 divided by $11.995) to pay the aggregate exercise price of the option. Incentive stock option granted 10/19/2017 under the Company's 2017 Stock Option Plan, which is fully vested. Incentive Stock Option granted 01/17/2019 under the Company's 2017 Stock Option Plan. Option to purchase 6,000 shares is vested. Option to purchase 2,000 shares will vest on anniversary date of 1/17/2024. 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. Incentive Stock Option granted 01/19/2023 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 2023-03-30