0001213900-21-059315.txt : 20211115 0001213900-21-059315.hdr.sgml : 20211115 20211115160036 ACCESSION NUMBER: 0001213900-21-059315 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211103 FILED AS OF DATE: 20211115 DATE AS OF CHANGE: 20211115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Eilam Amir CENTRAL INDEX KEY: 0001893788 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-49877 FILM NUMBER: 211410027 MAIL ADDRESS: STREET 1: AYELET HASHAHAR CITY: AYELET HASHAHAR STATE: L3 ZIP: 1220000 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 3 1 ownership.xml OWNERSHIP DOCUMENT X0206 3 2021-11-03 0 0001021604 ON TRACK INNOVATIONS LTD OTIVF 0001893788 Eilam Amir AYELET HASHAHAR AYELET HASHAHAR L3 1220000 ISRAEL 0 1 0 0 Chief Executive Officer Options (right to buy) 1.07 2021-11-30 Ordinary Shares 20000 D Options (right to buy) 0.28 2025-03-17 Ordinary Shares 10000 D Options (right to buy) 0.22 2026-01-06 Ordinary Shares 25000 D The option is exercisable in three equal installments. All installments became exercisable on 11/30/2017, 11/30/2018 and 11/30/2019, respectively, all subject to the terms and provisions of the Issuer's 2001 Share Option Plan, as amended. The option is exercisable in three equal installments. The first installment became exercisable on 03/17/2021, and the next two installments become exercisable on 03/17/2022 and 03/17/2023, all subject to the terms and provisions of the Issuer's 2001 Share Option Plan, as amended. The option is exercisable in three equal installments, on 01/06/2022, 01/06/2023 and 01/06/2024, all subject to the terms and provisions of the Issuer's 2001 Share Option Plan, as amended. /s/ Amir Eilam 2021-11-15