0001209191-23-050550.txt : 20230926 0001209191-23-050550.hdr.sgml : 20230926 20230926155925 ACCESSION NUMBER: 0001209191-23-050550 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230923 FILED AS OF DATE: 20230926 DATE AS OF CHANGE: 20230926 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Polinsky David CENTRAL INDEX KEY: 0001726896 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38411 FILM NUMBER: 231280449 MAIL ADDRESS: STREET 1: 90 BOOTH AVENUE CITY: ENGLEWOOD STATE: NJ ZIP: 07631 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Rafael Holdings, Inc. CENTRAL INDEX KEY: 0001713863 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE [6500] IRS NUMBER: 822296593 STATE OF INCORPORATION: DE FISCAL YEAR END: 0731 BUSINESS ADDRESS: STREET 1: 520 BROAD STREET CITY: NEWARK STATE: NJ ZIP: 07120 BUSINESS PHONE: 212-658-1450 MAIL ADDRESS: STREET 1: 520 BROAD STREET CITY: NEWARK STATE: NJ ZIP: 07120 4 1 doc4.xml FORM 4 SUBMISSION X0508 4 2023-09-23 1 0001713863 Rafael Holdings, Inc. RFL 0001726896 Polinsky David C/O RAFAEL HOLDINGS, INC. 520 BROAD ST NEWARK NJ 07102 0 1 0 0 Chief Financial Officer 0 Class B Common Stock, par value $.01 per share 2023-09-23 4 F 0 2541 2.035 D 128239 D Represents shares withheld by the Issuer for tax purposes upon vesting of restricted stock. Consists of 20,739 fully vested restricted shares and 107,500 unvested restricted shares that vest as follows: 25,000 on December 21, 2023; 6,250 on each of March 21, 2024, June 21, 2024 and September 21, 2024; 3,750 on September 23, 2024; 6,250 on each of December 21, 2024, March 21, 2025, June 21, 2025 and September 21, 2025; 3,750 on September 23, 2025; and 6,250 on each of December 21, 2025, March 21, 2025, June 21, 2026, September 21, 2026 and December 21, 2026. Joyce J. Mason, by Power of Attorney 2023-09-26