0001056520-21-000010.txt : 20210528
0001056520-21-000010.hdr.sgml : 20210528
20210528102011
ACCESSION NUMBER: 0001056520-21-000010
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210517
FILED AS OF DATE: 20210528
DATE AS OF CHANGE: 20210528
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ivy Jerry Lafe JR
CENTRAL INDEX KEY: 0001526770
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-49877
FILM NUMBER: 21976956
MAIL ADDRESS:
STREET 1: 2125 1ST AVE #3002
CITY: SEATTLE
STATE: WA
ZIP: 98121
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ON TRACK INNOVATIONS LTD
CENTRAL INDEX KEY: 0001021604
STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674]
IRS NUMBER: 000000000
STATE OF INCORPORATION: L3
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: HATNUFA 5
STREET 2: YOKNEAM INDUSTRIAL ZONE
CITY: YOKNEAM
STATE: L3
ZIP: 2069200
BUSINESS PHONE: 972 4 686-8021
MAIL ADDRESS:
STREET 1: HATNUFA 5
STREET 2: YOKNEAM INDUSTRIAL ZONE
CITY: YOKNEAM
STATE: L3
ZIP: 2069200
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2021-05-17
0
0001021604
ON TRACK INNOVATIONS LTD
OTIVF
0001526770
Ivy Jerry Lafe JR
1003 LAKE ST. #301
KIRKLAND
WA
98033
0
0
1
0
Ordinary Shares
2021-05-17
4
X
0
10690728
0.174
A
33229699
I
As Trustee and beneficiary of the Jerry L. Ivy, Jr. Descendants' Trust
Subscription Rights (right to buy)
0.174
2021-05-17
4
X
0
10690728
0
A
2021-04-20
2021-05-19
Ordinary Shares
10690728
0
D
Jerry L. Ivy, Jr.
2021-05-27