Filing Details
- Accession Number:
- 0001493152-19-001828
- Form Type:
- 13G Filing
- Publication Date:
- 2019-02-13 16:13:55
- Filed By:
- Groussman Mark
- Company:
- Polarityte Inc. (NASDAQ:PTE)
- Filing Date:
- 2019-02-13
- SEC Url:
- 13G Filing
Please notice the below summary table is generated without human intervention and may contain errors. Please refer to the complete filing displayed below for exact figures.
| Name | Sole Voting Power | Shared Voting Power | Sole Dispositive Power | Shared Dispositive Power | Aggregate Amount Owned Power | Percent of Class |
|---|---|---|---|---|---|---|
| Mark Groussman | 0 | 501,171 | 0 | 501,171 | 501,171 | 2.34% |
| Melechdavid, Inc | 0 | 473,671 | 0 | 473,671 | 473,671 | 2.21% |
| Melechdavid, Inc. Retirement Plan | 0 | 27,500 | 0 | 27,500 | 27,500 | 0.13% |
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Amendment No. 7
To
SCHEDULE 13G
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT
TO RULE 13d-1(b) (c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO
RULE 13d-2(b)
POLARITYTE, INC.
(Name of Issuer)
COMMON STOCK
(Title of Class of Securities)
731094108
(CUSIP Number)
December 31, 2018
(Date of Event Which Requires Filing of This Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
[ ] Rule 13d-1(b)
[x] Rule 13d-1(c)
[ ] Rule 13d-1(d)
| CUSIP No. 731094108 |
| 1 | NAME
OF REPORTING PERSONS
Mark Groussman | |
| 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* | (a) [ ] (b) [ ] |
| 3 | SEC USE ONLY | |
| 4 | CITIZENSHIP OR PLACE OF ORGANIZATION
US | |
NUMBER
OF BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 5 | SOLE VOTING POWER
0 |
| 6 | SHARED VOTING POWER
501,171(1) | |
| 7 | SOLE DISPOSITIVE POWER
0 | |
| 8 | SHARED DISPOSITIVE POWER
501,171(1) |
| 9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
501,171(1) |
| 10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) |
| 11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
2.34% (Based on 21,456,643 shares outstanding as of January 7, 2019) |
| 12 | TYPE OF REPORTING PERSON*
IN |
| (1) | Consists of: (i) 473,671 shares of common stock held by Melechdavid, Inc. (“Melechdavid”) and (ii) 27,500 shares of common stock held by Melechdavid, Inc. Retirement Plan (“Retirement Plan”). Mark Groussman is the President of Melechdavid and the trustee of Retirement Plan and in such capacities has voting and dispositive power over the securities held by such entities. |
| CUSIP No. 731094108 |
| 1 | NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Melechdavid, Inc. | |
| 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* | (a) [ ] (b) [ ] |
| 3 | SEC USE ONLY | |
| 4 | CITIZENSHIP OR PLACE OF ORGANIZATION
Florida | |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 5 | SOLE VOTING POWER
0 |
| 6 | SHARED VOTING POWER
473,671(1) | |
| 7 | SOLE DISPOSITIVE POWER
0 | |
| 8 | SHARED DISPOSITIVE POWER
473,671(1) |
| 9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
473,671(1) |
| 10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) |
| 11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
2.21% (Based on 21,456,643 shares outstanding as of January 7, 2019) |
| 12 | TYPE OF REPORTING PERSON*
CO |
| (1) | Mark Groussman is the President of Melechdavid and in such capacity has voting and dispositive power over the securities held by such entity. |
| CUSIP No. 731094108 |
| 1 | NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Melechdavid, Inc. Retirement Plan | |
| 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* | (a) [ ] (b) [ ] |
| 3 | SEC USE ONLY | |
| 4 | CITIZENSHIP OR PLACE OF ORGANIZATION
Florida | |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 5 | SOLE VOTING POWER
0 |
| 6 | SHARED VOTING POWER
27,500(1) | |
| 7 | SOLE DISPOSITIVE POWER
0 | |
| 8 | SHARED DISPOSITIVE POWER
27,500(1) |
| 9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
27,500(1) |
| 10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) |
| 11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
0.13% (Based on 21,456,643 shares outstanding as of January 7, 2019) |
| 12 | TYPE OF REPORTING PERSON*
CO |
| (1) | Mark Groussman is the trustee of Retirment Plan and in such capacity has voting and dispositive power over the securities held by such entity. |
| Item 1(a). | Name of Issuer: |
| PolarityTE, Inc. | |
| Item 1(b). | Address of Issuer’s Principal Executive Offices: |
| 123 Wright Brothers Drive | |
| Salt Lake City, UT 84116 | |
| Item 2(a). | Name of Person Filing. |
The statement is filed on behalf of Mark Groussman, Melechdavid, and Retirement Plan (together, the “Reporting Person”).
| Item 2(b). | Address of Principal Business Office or, if None, Residence. |
| 5154 La Gorce Drive | |
| Miami Beach, FL 33140 | |
| Item 2(c). | Citizenship. |
| United States | |
| Item 2(d). | Title of Class of Securities. |
| Common Stock, par value $0.001. | |
| Item 2(e). | CUSIP Number. |
| 731094108 | |
| Item 3. | Type of Person |
| IN | |
| Item 4. | Ownership. |
(a) Amount beneficially owned: 501,171(1)
(b) Percent of class: 2.34% (Based on 21,456,643 shares outstanding as of January 7, 2019).
(c) Number of shares as to which the person has:
| (i) | Sole power to vote or to direct the vote: 0 | |
| (ii) | Shared power to vote or to direct the vote: 501,171(1) | |
| (iii) | Sole power to dispose or to direct the disposition of: 0 | |
| (iv) | Shared power to dispose or to direct the disposition of: 501,171(1) |
| (1) | Consists of: (i) 473,671 shares of common stock held by Melechdavid, Inc. (“Melechdavid”) and (ii) 27,500 shares of common stock held by Melechdavid, Inc. Retirement Plan (“Retirement Plan”). Mark Groussman is the President of Melechdavid and the trustee of Retirement Plan and in such capacities has voting and dispositive power over the securities held by such entities. |
| Item 5. | Ownership of Five Percent or Less of a Class. |
| [X] Yes | |
| Item 6. | Ownership of More than Five Percent on Behalf of Another Person. |
| Not Applicable | |
| Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported by the Parent Holding Company. |
| Not applicable. | |
| Item 8. | Identification and Classification of Members of the Group. |
| Not applicable. | |
| Item 9. | Notice of Dissolution of Group. |
| Not applicable. | |
| Item 10. | Certifications. |
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
| Dated: February 13, 2019 | /s/ Mark Groussman | |
| Mark Groussman | ||
| Dated: February 13, 2019 | Melechdavid, Inc. | |
| By: | /s/ Mark Groussman | |
| Mark Groussman, President | ||
| Dated: February 13, 2019 | Melechdavid, Inc. Retirement Plan | |
| By: | /s/ Mark Groussman | |
| Mark Groussman, Trustee | ||