0001213900-26-059555.txt : 20260520 0001213900-26-059555.hdr.sgml : 20260520 20260520163002 ACCESSION NUMBER: 0001213900-26-059555 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20260518 FILED AS OF DATE: 20260520 DATE AS OF CHANGE: 20260520 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Barlev Tuvia CENTRAL INDEX KEY: 0001927656 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41375 FILM NUMBER: 261004418 MAIL ADDRESS: STREET 1: C/O ACTELIS NETWORKS, INC. STREET 2: 47800 WESTINGHOUSE DRIVE CITY: FREMONT STATE: CA ZIP: 94539 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ACTELIS NETWORKS INC CENTRAL INDEX KEY: 0001141284 STANDARD INDUSTRIAL CLASSIFICATION: COMMUNICATIONS EQUIPMENT, NEC [3669] ORGANIZATION NAME: 04 Manufacturing EIN: 522160309 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4039 CLIPPER COURT CITY: FREMONT STATE: CA ZIP: 94538 BUSINESS PHONE: 510-545-1040 MAIL ADDRESS: STREET 1: 4039 CLIPPER COURT CITY: FREMONT STATE: CA ZIP: 94538 4 1 ownership.xml X0609 4 2026-05-18 0 0001141284 ACTELIS NETWORKS INC ASNS 0001927656 Barlev Tuvia false 710 LAKEWAY DRIVE, SUITE 200 SUNNYVALE CA 94085 0 1 0 0 CEO 0 Common stock, par value $0.0001 2026-05-18 4 S 0 13801 0.0845 D 74244 D The sale reported on this Form 4 represents shares sold by the Reporting Person to cover tax withholding obligations in connection with the vesting and settlement of Restricted Stock Units ("RSUs"). The sale is mandated by the Issuer's election to require the satisfaction of tax withholding obligations to be funded by a "sell to cover" transaction and does not represent a discretionary transaction by the Reporting Person. Shares held following the reported transaction include 46,297 shares of common stock underlying RSUs, which are subject to forfeiture until they vest. /s/ Tuvia Barlev 2026-05-20