0001493152-19-019697.txt : 20191226
0001493152-19-019697.hdr.sgml : 20191226
20191226073653
ACCESSION NUMBER: 0001493152-19-019697
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191223
FILED AS OF DATE: 20191226
DATE AS OF CHANGE: 20191226
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gadot Harel
CENTRAL INDEX KEY: 0001690103
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-19871
FILM NUMBER: 191308356
MAIL ADDRESS:
STREET 1: 5 VILLAGE LANE
CITY: HINGHAM
STATE: MA
ZIP: 02043
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Microbot Medical Inc.
CENTRAL INDEX KEY: 0000883975
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 943078125
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 175 DERBY ST. 27/1
STREET 2: .
CITY: HINGHAM
STATE: MA
ZIP: 02043
BUSINESS PHONE: 908-938-5561
MAIL ADDRESS:
STREET 1: 175 DERBY ST. 27/1
STREET 2: .
CITY: HINGHAM
STATE: MA
ZIP: 02043
FORMER COMPANY:
FORMER CONFORMED NAME: STEMCELLS INC
DATE OF NAME CHANGE: 20000524
FORMER COMPANY:
FORMER CONFORMED NAME: CYTOTHERAPEUTICS INC/DE
DATE OF NAME CHANGE: 19930328
4
1
ownership.xml
X0306
4
2019-12-23
0
0000883975
Microbot Medical Inc.
MBOT
0001690103
Gadot Harel
C/O MICROBOT MEDICAL INC.
25 RECREATION PARK DRIVE, UNIT 108
HINGHAM
MA
02043
1
1
0
0
Chairman, President and CEO
Common Stock, par value $0.01 per share
2019-12-23
4
S
0
40000
10.00
D
136847
I
By MEDX Ventures Group, LLC
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person in April 2019.
Does not include any options to purchase common stock owned by the reporting person.
Mr. Gadot is the Chief Executive Officer, Company Group Chairman and majority equity owner of MEDX Venture Group and thus may be deemed to share voting and investment power over the shares beneficially owned by this entity.
/s/ Harel Gadot
2019-12-24