James Kim - Oct 16, 2023 Form 3 Insider Report for Notable Labs, Ltd. (VBLT)

Role
10%+ Owner
Signature
/s/ James Kim
Stock symbol
VBLT
Transactions as of
Oct 16, 2023
Transactions value $
$0
Form type
3
Date filed
10/19/2023, 01:31 PM

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding VBLT Ordinary shares 133K Oct 16, 2023 By Builders VC Entrepreneurs Fund I, L.P. F1, F2
holding VBLT Ordinary shares 305K Oct 16, 2023 By Builders VC Fund I (Canada), L.P. F1, F2
holding VBLT Ordinary shares 1.85M Oct 16, 2023 By Builders VC Fund I, L.P. F1, F2

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
holding VBLT Warrant to Purchase Ordinary Shares Oct 16, 2023 Ordinary shares 2.05K $113.00 By Builders VC Entrepreneurs Fund I, L.P. F1, F2, F3
holding VBLT Warrant to Purchase Ordinary Shares Oct 16, 2023 Ordinary shares 4.71K $113.00 By Builders VC Fund I (Canada), L.P. F1, F2, F4
holding VBLT Warrant to Purchase Ordinary Shares Oct 16, 2023 Ordinary shares 28.5K $113.00 By Builders VC Fund I, L.P. F1, F2, F5
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Shares of capital stock of the corporation then known as Notable Labs, Inc. ("Old Notable") were converted into ordinary shares of the Issuer pursuant to that certain Agreement and Plan of Merger, dated February 22, 2023, by and among the Issuer, Old Notable, and Vibrant Merger Sub, Inc., (the "Merger Agreement"). Pursuant to the terms of the Merger Agreement, each share of capital stock of Old Notable was exchanged for 0.0629 of the Issuer's ordinary shares, giving effect to a reverse split of the Issuer's ordinary shares of 1-for-35.
F2 This Form 3 is being filed by, and on behalf of, Builders VC Entrepreneurs Fund I, L.P., Builders VC Fund I (Canada), L.P., Builders VC Fund I, L.P. (collectively, the "Funds") and Mr. James Kim (together with the Funds, the "Reporting Persons"). Mr. Kim is the managing member of Builders VC GP I, LLC, the general partner of each of the Funds, and has voting and dispositive power over the securities held by each of the Funds. Each of the Reporting Persons disclaims beneficial ownership of those securities in which they do not have a pecuniary interest and this report shall not be deemed an admission that they are the beneficial owners of these securities for purposes of Section 16, except to the extent of their pecuniary interests therein.
F3 On June 30, 2022, Builders VC Entrepreneurs Fund I, L.P. acquired a warrant to purchase up to 32,629 shares of Old Notable Series C-1 Preferred Stock at an exercise price of $7.1319 per share. Pursuant to the Merger Agreement, this warrant was converted into a warrant to purchase 2,053 shares of the Issuer's ordinary shares at a per share exercise price of $113. The warrant is fully exercisable.
F4 On June 30, 2022, Builders VC Fund I (Canada), L.P. acquired a warrant to purchase up to 74,915 shares of Old Notable Series C-1 Preferred Stock at an exercise price of $7.1319 per share. Pursuant to the Merger Agreement, this warrant was converted into a warrant to purchase 4,713 shares of the Issuer's ordinary shares at a per share exercise price of $113.
F5 On June 30, 2022, Builders VC Fund I, L.P. acquired a warrant to purchase up to 453,054 shares of Old Notable Series C-1 Preferred Stock at an exercise price of $7.1319 per share. Pursuant to the Merger Agreement, this warrant was converted into a warrant to purchase 28,498 shares of the Issuer's ordinary shares at a per share exercise price of $113. The warrant is fully exercisable.