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