SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Shelton Larry

(Last) (First) (Middle)
8302 DUNWOODY PLACE,
SUITE 250

(Street)
ATLANTA, GA 30350

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
PERMA FIX ENVIRONMENTAL SERVICES INC [ PESI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
01/03/2023
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 01/03/2023 A 5,524 A $2.6475 157,387 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option $2.785 (1) 09/12/2023 Common Stock 2,400 2,400 D
Stock Option $3.7 (2) 09/18/2024 Common Stock 2,400 2,400 D
Stock Option $4.19 (3) 09/17/2025 Common Stock 2,400 2,400 D
Stock Option $4.6 (4) 07/28/2026 Common Stock 2,400 2,400 D
Stock Option $3.55 (5) 07/27/2027 Common Stock 2,400 2,400 D
Stock Option $4.3 (6) 07/26/2028 Common Stock 2,400 2,400 D
Stock Option $3.31 (7) 07/25/2029 Common Stock 2,400 2,400 D
Stock Option $6.7 (8) 07/22/2030 Common Stock 2,400 2,400 D
Stock Option $5.93 (9) 07/20/2031 Common Stock 10,000 10,000 D
Stock Option $5.15 (10) 07/21/2032 Common Stock 10,000 10,000 D
Explanation of Responses:
1. Non-Qualified Stock Option granted 09/12/2013 under the Company's 2003 Outside Directors Stock Plan. The Option vests fully six months from date of grant.
2. Non-Qualified Stock Option granted 09/18/2014 under the Company's 2003 Outside Directors Stock Plan. The Option vests fully six months from date of grant.
3. Non-Qualified Stock Option granted 09/17/2015 under the Company's 2003 Outside Directors Stock Plan. The Option vests fully six months from date of grant.
4. Non-Qualified Stock Option granted 07/28/2016 under the Company's 2003 Outside Directors Stock Plan. The Option vests fully six months from date of grant.
5. Non-Qualified Stock Option granted 07/27/2017 under the Company's 2003 Outside Directors Stock Plan. The Option vests fully six months from date of grant.
6. Non-Qualified Stock Option granted 07/26/2018 under the Company's 2003 Outside Directors Stock Plan. The Option vests fully six months from date of grant.
7. Non-Qualified Stock Option granted 07/25/2019 under the Company's 2003 Outside Directors Stock Plan. The Option vests fully six months from date of grant.
8. Non-Qualified Stock Option granted 07/22/2020 under the Company's 2003 Outside Directors Stock Plan. The Option vests fully six months from date of grant.
9. Non-Qualified Stock Option granted 07/20/2021 under the Company's 2003 Outside Directors Stock Plan. The Option vests over a four year period, at 1/4 increment per year.
10. Non-Qualified Stock Option granted 07/21/2022 under the Company's 2003 Outside Directors Stock Plan. The Option vests over a four year period, at 1/4 increment per year.
/s/ Larry Shelton 01/04/2023
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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