Amir Eilam - Dec 2, 2021 Form 4 Insider Report for ON TRACK INNOVATIONS LTD (OTIVF)

Role
Chief Executive Officer
Signature
/s/ Amir Eilam
Stock symbol
OTIVF
Transactions as of
Dec 2, 2021
Transactions value $
$0
Form type
4
Date filed
12/6/2021, 12:00 PM
Previous filing
Nov 15, 2021
Next filing
Mar 8, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction OTIVF Ordinary Shares Award +255K 255K Dec 2, 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 -10K -100% $0.00* 0 Dec 2, 2021 Ordinary Shares 10K $0.28 Direct F3
transaction OTIVF Stock Option (right to buy) Disposed to Issuer $0 -25K -100% $0.00* 0 Dec 2, 2021 Ordinary Shares 25K $0.22 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) 3,334 shares vested on 12/02/2021; (ii) 31,666 shares will vest in two equal instalments on each of 12/02/2022 and 12/02/2023; and (iii) 220,000 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.