0001144204-16-091837.txt : 20160331 0001144204-16-091837.hdr.sgml : 20160331 20160331114922 ACCESSION NUMBER: 0001144204-16-091837 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20160331 DATE AS OF CHANGE: 20160331 GROUP MEMBERS: DAN OREN SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Medigus Ltd. CENTRAL INDEX KEY: 0001618500 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 STATE OF INCORPORATION: L3 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-88932 FILM NUMBER: 161542279 BUSINESS ADDRESS: STREET 1: BUILDING 7A, OMER INDUSTRIAL PARK STREET 2: POB 3030 CITY: OMER STATE: L3 ZIP: 8496500 BUSINESS PHONE: 972722602211 MAIL ADDRESS: STREET 1: BUILDING 7A, OMER INDUSTRIAL PARK STREET 2: POB 3030 CITY: OMER STATE: L3 ZIP: 8496500 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Dexxon Technologies 2005 Ltd. CENTRAL INDEX KEY: 0001670775 IRS NUMBER: 000000000 STATE OF INCORPORATION: L3 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: OMER INDUSTRIAL PARK, NO. 7A STREET 2: P.O. BOX 3030 CITY: OMER STATE: L3 ZIP: 8496500 BUSINESS PHONE: 972-4-636-4040 MAIL ADDRESS: STREET 1: OMER INDUSTRIAL PARK, NO. 7A STREET 2: P.O. BOX 3030 CITY: OMER STATE: L3 ZIP: 8496500 SC 13G 1 v435809_sc13g.htm SC 13G

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C.  20549

 

SCHEDULE 13G

 

Under the Securities Exchange Act of 1934
(Amendment No. ____)*

 

Medigus Ltd.
(Name of Issuer)
 
Ordinary Shares
(Title of Class of Securities)
 
58471G102
(CUSIP Number)
 
December 31, 2015
(Date of Event which Requires Filing of this Statement)

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

 

¨

Rule 13d-1(b)

 

¨

Rule 13d-1(c)

 

x

Rule 13d-1(d)

 

*  The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

 

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of this Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

 

CUSIP No. 58471G102

 Page 2 of 6

 

       
1.

NAME OF REPORTING PERSONS

I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)

 

Dexxon Technologies 2005 Ltd.

 

2.

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(SEE INSTRUCTIONS)

 

(a) ¨

(b) ¨

 

3.

SEC USE ONLY

 

4.

CITICITIZENSHIP OR PLACE OF ORGANIZATION

Israel

 

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY EACH

REPORTING

PERSON WITH

5.

SOLE VOTING POWER

 

1,907,139

 

6.

SHARED VOTING POWER

 

0

 

7.

SOLE DISPOSITIVE POWER

 

1,907,139

 

8.

SHARED DISPOSITIVE POWER

 

0

 

9.

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

1,907,139

 

10.

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)  ¨

 

11.

PER PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

5.95%1

 

12.

TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)

CO

 

 

1 This calculation is based on 32,047,035 Ordinary Shares, par value, NIS 0.01 per share (the “Ordinary Shares”) of Medigus Ltd. (the “Issuer”), outstanding as of November 27, 2015, as reported in the Issuer’s Report on Form 6-K filed on December 29, 2015.

 

 

CUSIP No. 58471G102

 Page 3 of 6

 

       
1.

NAME OF REPORTING PERSONS

I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)

 

Dan Oren

 

2.

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(SEE INSTRUCTIONS)

 

(a) ¨

(b) ¨

 

3.

SEC USE ONLY

 

4.

CITICITIZENSHIP OR PLACE OF ORGANIZATION

Israel

 

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY EACH

REPORTING

PERSON WITH

5.

SOLE VOTING POWER

 

0

 

6.

SHARED VOTING POWER

 

1,907,139

 

7.

SOLE DISPOSITIVE POWER

 

0

 

8.

SHARED DISPOSITIVE POWER

 

1,907,139

 

9.

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

1,907,139

 

10.

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)  ¨

 

11.

PER PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

5.95%1

 

12.

TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)

IN

 

 

1 This calculation is based on 32,047,035 Ordinary Shares of the Issuer, outstanding as of November 27, 2015, as reported in the Issuer’s Report on Form 6-K filed on December 29, 2015.

 

 

CUSIP No. 58471G102

 Page 4 of 6

 

Item 1.

 

(a) Name of Issuer

 

Medigus Ltd., a company incorporated in Israel (the “Issuer”).

 

(b) Address of Issuer’s Principal Executive Offices:

 

Omer Industrial Park, No. 7A
P.O. Box 3030
Omer 8496500
Israel

 

Item 2.

(a) Name of Person Filing

 

Dexxon Technologies 2005 Ltd. (“Dexxon”)
Dan Oren (each a “Reporting Person” and together, the “Reporting Persons”).    

 

(b) Address of Principal Business Office or, if none, Residence

 

The business address of each of the Reporting Persons is 1 Dexcel Street, Or Akiva, 30600000, Israel.

 

(c) Citizenship

 

Dexxon is incorporated under the laws of Israel. Dan Oren is an Israeli citizen.

 

(d) Title of Class of Securities

 

Ordinary Shares, par value NIS 0.01 per share (“Ordinary Shares”).

 

(e) CUSIP Number

 

The Ordinary Shares have no CUSIP number. The ISIN for the Ordinary Shares is 1L0010961717. The CUSIP number for the American Depository Shares traded on the NASDAQ Stock Market is 58471G102.

 

Item 3.

 

If this Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a:

 

Not applicable.

Item 4.

Ownership.

 

The information required by Items 4(a)-(c) is set forth in Rows (5)-(11) of the cover page for each Reporting Person. Voting and dispositive decisions for Dexxon are made by Dan Oren, in his capacity as sole director. Dan Oren is the sole shareholder of Dexxon. Accordingly, Dan Oren may be deemed to have investment and voting control over the Ordinary Shares owned by Dexxon.

 

 

CUSIP No. 58471G102

 Page 5 of 6

 

Item 5.

Ownership of Five Percent or Less of a Class.

 

If this statement is being filed to report the fact that as of the date hereof, the Reporting Persons have ceased to be the beneficial owner of more than five percent of the class of securities, check the following ¨.

 

Item 6.

Ownership of More than Five Percent on Behalf of Another Person.

 

Not applicable.

 

Item 7.

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person

 

Not applicable.

 

Item 8.

Identification and Classification of Members of the Group.

 

Not applicable.

 

Item 9.

Notice of Dissolution of Group.

 

Not applicable.

 

Item 10.

Certification.

 

Not applicable.

 

EXHIBITS

 

1. Joint Filing Agreement, dated the date hereof, between the Reporting Persons.

 

 

CUSIP No. 58471G102

 Page 6 of 6

 

SIGNATURE

 

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

 

Date:  March 31, 2016

 

    /s/ Dan Oren  
     Dan Oren  

 

  DEXXON TECHNOLOGIES 2005 LTD.  
     
  By: /s/ Dan Oren  
    Name: Dan Oren  
    Title: Director  
     

 

 

 

EX-99.1 2 v435809_ex99-1.htm EXHIBIT 1

 

Exhibit 1

 

JOINT FILING AGREEMENT
PURSUANT TO RULE 13d-1(k)

 

The undersigned acknowledge and agree that the foregoing statement on Schedule 13G is filed on behalf of each of the undersigned and that all subsequent amendments to this statement on Schedule 13G may be filed on behalf of each of the undersigned without the necessity of filing additional joint filing agreements. The undersigned acknowledge that each shall be responsible for the timely filing of such amendments, and for the completeness and accuracy of the information concerning it contained herein and therein, but shall not be responsible for the completeness and accuracy of the information concerning the others, except to the extent that it knows that such information is inaccurate.

 

Dated: March 31, 2016.

 

    /s/ Dan Oren  
     Dan Oren  

 

  DEXXON TECHNOLOGIES 2005 LTD.  
     
  By: /s/ Dan Oren  
    Name: Dan Oren  
    Title: Director