0001493152-21-024319.txt : 20211001 0001493152-21-024319.hdr.sgml : 20211001 20211001153114 ACCESSION NUMBER: 0001493152-21-024319 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211001 FILED AS OF DATE: 20211001 DATE AS OF CHANGE: 20211001 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bostick Thomas CENTRAL INDEX KEY: 0001724193 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11596 FILM NUMBER: 211298665 MAIL ADDRESS: STREET 1: 20374 SENECA MEADOWS PARKWAY CITY: GERMANTOWN STATE: MD ZIP: 20876 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 2021-10-01 0 0000891532 PERMA FIX ENVIRONMENTAL SERVICES INC PESI 0001724193 Bostick Thomas 8302 DUNWOODY PLACE, SUITE 250 ATLANTA, GA 30350 1 0 0 0 Common Stock 2021-10-01 4 A 0 2506 4.9875 A 10140 D Stock Option 7.2900 2030-08-10 Common Stock 6000 6000 D Stock Option 5.9300 2031-07-20 Common Stock 10000 10000 D Non-Qualified Stock Option granted 8/10/2020 under the Company's 2003 Outside Directors Stock Plan. The Option vests fully six months from date of grant. Non-Qualified Stock Option granted 7/20/2021 under the Company's 2003 Outside Directors Stock Plan. The Option vests over a four year period, at 1/4 increment per year. /s/ Thomas P. Bostick 2021-10-01