-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, VpfFFp771luM0qDi5avE9PSl4l9UpJs0sW57sAGhVNVBcb72mVdaJevSV77A4Ck2 67MGSBkwXgrTTcFHR9+VJQ== 0001209191-09-024890.txt : 20090506 0001209191-09-024890.hdr.sgml : 20090506 20090506212503 ACCESSION NUMBER: 0001209191-09-024890 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090504 FILED AS OF DATE: 20090506 DATE AS OF CHANGE: 20090506 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BUTCHOFSKY ROBERT CENTRAL INDEX KEY: 0001309652 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17082 FILM NUMBER: 09803178 MAIL ADDRESS: STREET 1: 887 GREAT NORTHERN WAY CITY: VANCOUVER STATE: A1 ZIP: V5T 4T5 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: QLT INC/BC CENTRAL INDEX KEY: 0000827809 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 887 GREAT NORTHERN WAY STREET 2: - CITY: VANCOUVER STATE: A1 ZIP: V5T 4T5 BUSINESS PHONE: 6047077000 MAIL ADDRESS: STREET 1: 887 GREAT NORTHERN WAY CITY: VANCOUVER STATE: A1 ZIP: V5T 4T5 FORMER COMPANY: FORMER CONFORMED NAME: QLT PHOTO THERAPEUTICS INC DATE OF NAME CHANGE: 19960618 FORMER COMPANY: FORMER CONFORMED NAME: QUADRA LOGIC TECHNOLOGIES INC DATE OF NAME CHANGE: 19941201 4 1 c85021_4x0.xml MAIN DOCUMENT DESCRIPTION X0303 4 2009-05-04 0000827809 QLT INC/BC QLTI 0001309652 BUTCHOFSKY ROBERT C/O QLT INC. 887 GREAT NORTHERN WAY, SUITE 101 VANCOUVER A1 V5T 4T5 BRITISH COLUMBIA, CANADA 1 1 0 0 President and CEO Employee Stock Options (right to buy) 2.07 2009-05-04 4 A 0 250000 0.00 A 2014-05-04 Common Stock 250000 250000 D Option exercise price reflects the conversion of Canadian dollars to U.S. dollars based on the exchange rate in effect as of the date of grant, which exchange rate was 1:0.8493. The option exercise price is $2.44 CAD per share, which was the closing price of the Issuer's common stock on the Toronto Stock Exchange as of the date of grant. The shares subject to the option vest and become exercisable in thirty-six (36) successive and equal monthly installments measured from May 4, 2009, such that 100% of the shares subject to the option will be fully vested on May 4, 2012. /s/ Robert Butchofsky 2009-05-06 -----END PRIVACY-ENHANCED MESSAGE-----