Elad Domanovitz - May 12, 2022 Form 3 Insider Report for ACTELIS NETWORKS INC (ASNS)

Role
Chief Technology Officer
Signature
/s/ Elad Domanovitz
Stock symbol
ASNS
Transactions as of
May 12, 2022
Transactions value $
$0
Form type
3
Date filed
5/17/2022, 05:32 PM
Next filing
Dec 19, 2022

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 ASNS Option May 12, 2022 Common Stock 11K $0.06 Direct F1
holding ASNS Option May 12, 2022 Common Stock 1.1K $0.06 Direct F2
holding ASNS Option May 12, 2022 Common Stock 5.44K $0.11 Direct F3
holding ASNS Option May 12, 2022 Common Stock 17.4K $0.11 Direct F4
holding ASNS Option May 12, 2022 Common Stock 17.4K $0.11 Direct F5
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 This Option grant vested in full on 06/29/2019.
F2 This Option grant vested in full on 01/20/2020.
F3 This Option grant vested in full on 06/07/2021.
F4 This Option grant vested in full on 03/06/2019.
F5 This Option grant vested in full on 12/30/2019.