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
* 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.