Assaf Cohen - 02 Dec 2021 Form 4 Insider Report for ON TRACK INNOVATIONS LTD

Role
Chief Financial Officer
Signature
/s/ Assaf Cohen
Issuer symbol
N/A
Transactions as of
02 Dec 2021
Net transactions value
$0
Form type
4
Filing time
06 Dec 2021, 11:22:57 UTC
Next filing
13 Jun 2022
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction OTIVF Ordinary Shares Award +400,000 400,000 02 Dec 2021 Direct 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
transaction OTIVF Stock Option (right to buy) Disposed to Issuer $0 -15,000 -100% $0.000000* 0 02 Dec 2021 Ordinary Shares 15,000 $1.21 Direct F3
transaction OTIVF Stock Option (right to buy) Disposed to Issuer $0 -20,000 -100% $0.000000* 0 02 Dec 2021 Ordinary Shares 20,000 $0.8400 Direct F3
transaction OTIVF Stock Option (right to buy) Disposed to Issuer $0 -100,000 -100% $0.000000* 0 02 Dec 2021 Ordinary Shares 100,000 $0.3800 Direct F3
transaction OTIVF Stock Option (right to buy) Disposed to Issuer $0 -50,000 -100% $0.000000* 0 02 Dec 2021 Ordinary Shares 50,000 $0.2200 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Upon vesting of such ordinary shares, as described in Note 2 below, the Reporting Person shall be required to pay the par value of the shares no longer subject to restriction of NIS 0.1.
F2 The ordinary shares vest as follows: (i) 50,000 shares will vest in two equal instalments on each of 12/02/2022 and 12/02/2023; and (ii) 350,000 shares will vest in three equal instalments on each of 12/02/2022, 12/02/2023 and 12/02/2024, all subject to the terms and provisions of the Issuer's 2021 equity incentive plan.
F3 The options were disposed of to the Issuer according to the Reporting Person's consent to the cancellation thereof in connection with the grant of the ordinary shares listed in Table I.