0001213900-21-038828.txt : 20210727 0001213900-21-038828.hdr.sgml : 20210727 20210727113258 ACCESSION NUMBER: 0001213900-21-038828 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210723 FILED AS OF DATE: 20210727 DATE AS OF CHANGE: 20210727 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Anderson William Carl III CENTRAL INDEX KEY: 0001638814 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-49877 FILM NUMBER: 211116689 MAIL ADDRESS: STREET 1: 6209 SHADYCLIFF DRIVE CITY: DALLAS STATE: TX ZIP: 75240 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 ownership.xml X0306 4 2021-07-23 0 0001021604 ON TRACK INNOVATIONS LTD OTIVF 0001638814 Anderson William Carl III 6209 SHADYCLIFF DR. DALLAS TX 75240 1 0 0 0 Stock Option (right to buy) 0.27 2021-07-23 4 A 0 30000 0 A 2026-07-23 Ordinary Shares 30000 30000 D Acquired pursuant to the Issuer's 2001 Share Option Plan, as amended. The Stock Options vest as follows: 10,000 shares will vest on July 23, 2022, 10,000 shares will vest on July 23, 2023, and 10,000 shares will vest on July 23, 2024, all subject to the Issuer's 2001 Share Option Plan, as amended. /s/ William C. Anderson 2021-07-27