Statement of Changes in Beneficial Ownership (4)
May 24 2023 - 10:41AM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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CENTOFANTI LOUIS F |
2. Issuer Name and Ticker or Trading Symbol
PERMA FIX ENVIRONMENTAL SERVICES INC
[
PESI
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) EVP of Strategic Initiatives |
(Last)
(First)
(Middle)
8302 DUNWOODY PLACE, SUITE 250 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
5/22/2023 |
(Street)
ATLANTA,, GA 30350 |
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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(City)
(State)
(Zip)
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Rule 10b5-1(c) Transaction Indication
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Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan that is intended to
satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 5/22/2023 | | M | | 50000 (1) | A | $3.65 | 224225 | D | |
Common Stock | 5/22/2023 | | F | | 16516 (1) | D | $11.0500 | 207709 | D | |
Common Stock | | | | | | | | 62800 | I | Spouse |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Stock Option | $3.6500 | 5/22/2023 | | M | | | 50000 (1) | (2) | 7/27/2023 | Common Stock | 50000 | $0 | 0 (1) | D | |
Stock Option | $3.1500 | | | | | | | (3) | 1/17/2025 | Common Stock | 15000 | | 15000 | D | |
Stock Option | $7.0050 | | | | | | | (4) | 10/14/2027 | Common Stock | 20000 | | 20000 | D | |
Stock Option | $3.9500 | | | | | | | (5) | 1/19/2029 | Common Stock | 30000 | | 30000 | D | |
Explanation of Responses: |
(1) | On May 22, 2023, the Reporting Person exercised the incentive stock option granted 07/27/2017 under the Company's 2017 Stock Option Plan (the "2017 Plan") for the
purchase of 50,000 shares of the Company's Common Stock at an exercise price of $3.65 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 $182,500. Since the fair market value of the Company's Common Stock on May 22, 2023 (as determined in accordance with the 2017
Plan) was $11.05 per share, the Company withheld 16,516 shares of Common Stock ($182,500 divided by $11.05) to pay the aggregate exercise price of the option. |
(2) | Incentive Stock Option granted 07/27/2017 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. |
(3) | Incentive Stock Option granted 01/17/2019 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. |
(4) | 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. |
(5) | 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. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
CENTOFANTI LOUIS F 8302 DUNWOODY PLACE, SUITE 250 ATLANTA,, GA 30350 | X |
| EVP of Strategic Initiatives |
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Signatures
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/s/ Lou Centofanti | | 5/24/2023 |
**Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
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