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

Role
Chief Technology Officer
Signature
/s/ Elad Domanovitz
Issuer symbol
ASNS
Transactions as of
12 May 2022
Net transactions value
$0
Form type
3
Filing time
17 May 2022, 17:32:43 UTC
Next filing
19 Dec 2022
SEC
View on sec.gov

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 12 May 2022 Common Stock 10,978 $0.0644 Direct F1
holding ASNS Option 12 May 2022 Common Stock 1,098 $0.0644 Direct F2
holding ASNS Option 12 May 2022 Common Stock 5,435 $0.1058 Direct F3
holding ASNS Option 12 May 2022 Common Stock 17,391 $0.1058 Direct F4
holding ASNS Option 12 May 2022 Common Stock 17,391 $0.1058 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.