Tuvia Barlev - 15 Sep 2022 Form 4 Insider Report for ACTELIS NETWORKS INC (ASNS)

Role: CEO and Chairman of the Board, Director
Signature: /s/ Tuvia Barlev
Issuer symbol: ASNS
Transactions as of: 15 Sep 2022
Net transactions value: $0
Form type: 4
Filing time: 19 Sep 2022, 16:16:55 UTC
Previous filing: 17 May 2022
Next filing: 18 May 2023
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
transaction	ASNS	Restricted Stock Units	Award	$0	+125,000		$0.000000	125,000	15 Sep 2022	Common Stock, $0.0001 par value	125,000		Direct	F1

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	The Restricted Stock Units (the "RSUs") were granted to the Reporting Person as compensation for serving as CEO and Chaiman of the Board. The RSUs vest yearly in three equal tranches, with the first tranche vesting on May 17, 2023, the second tranche vesting on May 17, 2024, and the last tranche vesting on May 17, 2025, subject to the Reporting Person's continued engagement with the Issuer through each date that the options shall vest, unless the Reporting Person's engagement with the Issuer as both CEO and board member is terminated, in which case the unvested RSUs will vest at the termination date, based on the upcoming annual anniversary amount, pro-rated to the date of termination. Each RSU represents a contingent right to receive one share of the Issuer's common stock or the cash value thereof. The Board, in its sole discretion, will determine in accordance with the terms and conditions of the Issuer's 2015 Equity Incentive Plan, as amended, the form of payout of the RSUs (cash and/or stock).

Content

The Restricted Stock Units (the "RSUs") were granted to the Reporting Person as compensation for serving as CEO and Chaiman of the Board. The RSUs vest yearly in three equal tranches, with the first tranche vesting on May 17, 2023, the second tranche vesting on May 17, 2024, and the last tranche vesting on May 17, 2025, subject to the Reporting Person's continued engagement with the Issuer through each date that the options shall vest, unless the Reporting Person's engagement with the Issuer as both CEO and board member is terminated, in which case the unvested RSUs will vest at the termination date, based on the upcoming annual anniversary amount, pro-rated to the date of termination. Each RSU represents a contingent right to receive one share of the Issuer's common stock or the cash value thereof. The Board, in its sole discretion, will determine in accordance with the terms and conditions of the Issuer's 2015 Equity Incentive Plan, as amended, the form of payout of the RSUs (cash and/or stock).