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

Role
EVP Sales Americas
Signature
/s/ Bruce Hammergren
Issuer symbol
ASNS
Transactions as of
12 May 2022
Net transactions value
$0
Form type
3
Filing time
18 May 2022, 16:31:15 UTC
Next filing
19 Sep 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 23,371 $0.0644 Direct F1
holding ASNS Option 12 May 2022 Common Stock 5,435 $0.0644 Direct F2
holding ASNS Option 12 May 2022 Common Stock 4,891 $0.0644 Direct F3
holding ASNS Option 12 May 2022 Common Stock 5,435 $0.1058 Direct F4
holding ASNS Option 12 May 2022 Common Stock 5,435 $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 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.