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

Role: EVP Sales Americas
Signature: /s/ Bruce Hammergren
Stock symbol: ASNS
Transactions as of: May 12, 2022
Transactions value $: $0
Form type: 3
Date filed: 5/18/2022, 04:31 PM
Next filing: Sep 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	23.4K	$0.06	Direct	F1
holding	ASNS	Option							May 12, 2022	Common Stock	5.44K	$0.06	Direct	F2
holding	ASNS	Option							May 12, 2022	Common Stock	4.89K	$0.06	Direct	F3
holding	ASNS	Option							May 12, 2022	Common Stock	5.44K	$0.11	Direct	F4
holding	ASNS	Option							May 12, 2022	Common Stock	5.44K	$0.11	Direct	F5

Showing 1 to 5 of 5 entries

* 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 01/20/2020.
F4	This Option grant vested in full on 05/07/2022.
F5	This Option grant is approximately 59% vested as of May 12, 2022, with the remaining 41% of the Option grant vesting at a rate of 113 options per month until December 4, 2023 at which point the Option grant shall be fully vested, subject to Mr. Hammergren remaining continuously employed through the final vesting date.