0001654954-21-000170.txt : 20210105
0001654954-21-000170.hdr.sgml : 20210105
20210105201355
ACCESSION NUMBER: 0001654954-21-000170
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210104
FILED AS OF DATE: 20210105
DATE AS OF CHANGE: 20210105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MICHEL KIRK WHEELER
CENTRAL INDEX KEY: 0001351095
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50956
FILM NUMBER: 21508481
MAIL ADDRESS:
STREET 1: 209 EAST TRYON STREET
CITY: HILLSBOROUGH
STATE: NC
ZIP: 27278
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Pharma-Bio Serv, Inc.
CENTRAL INDEX KEY: 0001304161
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742]
IRS NUMBER: 200653570
FISCAL YEAR END: 1031
BUSINESS ADDRESS:
STREET 1: INDUSTRIAL ZONE STREET 1
STREET 2: LOT 14
CITY: DORADO
STATE: PR
ZIP: 00646
BUSINESS PHONE: 787-278-2709
MAIL ADDRESS:
STREET 1: INDUSTRIAL ZONE STREET 1
STREET 2: LOT 14
CITY: DORADO
STATE: PR
ZIP: 00646
FORMER COMPANY:
FORMER CONFORMED NAME: LAWRENCE CONSULTING GROUP INC
DATE OF NAME CHANGE: 20040923
4
1
section16.xml
PRIMARY DOCUMENT
X0306
4
2021-01-04
0001304161
Pharma-Bio Serv, Inc.
PBSV
0001351095
MICHEL KIRK WHEELER
209 EAST TRYON STREET
HILLSBOROUGH
NC
27278
true
true
false
false
Chairman
Common Stock
2021-01-04
4
M
false
20000
0.95
A
57763
D
Common Stock
2021-01-04
4
F
false
13103
1.45
D
44660
D
Common Stock
340706
I
By Kema Advisors, Inc.
Stock Option
0.95
2021-01-04
4
M
false
20000
0
D
2021-01-10
Common Stock
20000
0
D
Represents the aggregate amount of shares of Common Stock withheld for a cashless exercise.
The reporting person is the sole shareholder of this entity.
The option vested in two equal installments on July 10, 2016 and July 10, 2017.
/s/ Kirk Michel
2021-01-05