0000914122-17-000029.txt : 20170626 0000914122-17-000029.hdr.sgml : 20170626 20170626164216 ACCESSION NUMBER: 0000914122-17-000029 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170622 FILED AS OF DATE: 20170626 DATE AS OF CHANGE: 20170626 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Perma-Pipe International Holdings, Inc. CENTRAL INDEX KEY: 0000914122 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL & COMMERCIAL FANS & BLOWERS & AIR PURIFYING EQUIP [3564] IRS NUMBER: 363922969 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 6410 WEST HOWARD STREET CITY: NILES STATE: IL ZIP: 60714 BUSINESS PHONE: 8479661000 MAIL ADDRESS: STREET 1: 6410 WEST HOWARD STREET CITY: NILES STATE: IL ZIP: 60714 FORMER COMPANY: FORMER CONFORMED NAME: MFRI INC DATE OF NAME CHANGE: 19970402 FORMER COMPANY: FORMER CONFORMED NAME: MIDWESCO FILTER RESOURCES INC DATE OF NAME CHANGE: 19970402 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Zorko Mark A CENTRAL INDEX KEY: 0001346585 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32530 FILM NUMBER: 17930270 MAIL ADDRESS: STREET 1: 874 GOODRICH PLACE CITY: PALATINE STATE: IL ZIP: 60067 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Walker Jerome T. CENTRAL INDEX KEY: 0001453436 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32530 FILM NUMBER: 17930271 MAIL ADDRESS: STREET 1: 10205 WESTHEIMER, SUITE 1000 CITY: HOUSTON STATE: TX ZIP: 77042 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MAUTNER BRADLEY E CENTRAL INDEX KEY: 0001244981 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32530 FILM NUMBER: 17930272 MAIL ADDRESS: STREET 1: 6410 W. HOWARD STREET CITY: NILES STATE: IL ZIP: 60714 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brown David B CENTRAL INDEX KEY: 0001507086 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32530 FILM NUMBER: 17930273 MAIL ADDRESS: STREET 1: 9870 PLANO ROAD CITY: DALLAS STATE: TX ZIP: 75238 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Barrie David S CENTRAL INDEX KEY: 0001561676 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32530 FILM NUMBER: 17930274 MAIL ADDRESS: STREET 1: 2409 BOXWOOD LANE CITY: FERNANDINA BEACH STATE: FL ZIP: 32034 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-06-22 0 0000914122 Perma-Pipe International Holdings, Inc. PPIH 0001561676 Barrie David S 2409 BOXWOOD LANE FERNANDINA BEACH FL 32034 1 0 0 0 0001507086 Brown David B 9870 PLANO ROAD DALLAS TX 75238 1 0 0 0 0001244981 MAUTNER BRADLEY E 6410 W. HOWARD STREET NILES IL 60714 1 0 0 0 0001453436 Walker Jerome T. 10205 WESTHEIMER, SUITE 1000 HOUSTON TX 77042 1 0 0 0 0001346585 Zorko Mark A 874 GOODRICH PLACE PALATINE IL 60067 1 0 0 0 Deferred Stock Units 8 2017-06-22 4 A 0 5000 0 A Common stock 5000 0 D Deferred Share Units are payable to the reporting person in Common Stock on a one-for-one basis, upon separation of service as a member of the Board David S. Barrie 22,143 David B. Brown 16,896 Bradley E. Mautner 9,575 Jerome T. Walker 19,313 Mark A. Zorko 22,143 David S. Barrie 2017-06-26 David B. Brown 2017-06-26 Bradley E Mautner 2017-06-26 Jerome T Walker 2017-06-26 Mark A. Zorko 2017-06-26