0001493152-22-027437.txt : 20221003 0001493152-22-027437.hdr.sgml : 20221003 20221003163040 ACCESSION NUMBER: 0001493152-22-027437 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220929 FILED AS OF DATE: 20221003 DATE AS OF CHANGE: 20221003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brandwain Ezequiel Javier CENTRAL INDEX KEY: 0001908205 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37370 FILM NUMBER: 221287845 MAIL ADDRESS: STREET 1: AMNON LIPKIN SHAHAK 1, APT. 110 CITY: NETANYA, STATE: L3 ZIP: 4272825 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: My Size, Inc. CENTRAL INDEX KEY: 0001211805 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: HAYARDEN 4 CITY: AIRPORT CITY STATE: L3 ZIP: 7010000 BUSINESS PHONE: 972-36009030 MAIL ADDRESS: STREET 1: HAYARDEN 4 CITY: AIRPORT CITY STATE: L3 ZIP: 7010000 FORMER COMPANY: FORMER CONFORMED NAME: Mysize Inc. DATE OF NAME CHANGE: 20150317 FORMER COMPANY: FORMER CONFORMED NAME: TOPSPIN MEDICAL INC DATE OF NAME CHANGE: 20021226 4 1 ownership.xml X0306 4 2022-09-29 0 0001211805 My Size, Inc. MYSZ 0001908205 Brandwain Ezequiel Javier HAYARDEN 4 AIRPORT CITY L3 7010000 ISRAEL 0 1 0 0 Chief Commercial Officer Common Stock 2022-09-29 4 A 0 300000 0 A 300000 D Restricted stock granted under the My Size, Inc. 2017 Equity Incentive Plan, which vests in three equal annual installments, with 1/3 vesting on each of January 1, 2023, January 1, 2024 and January 1, 2025, subject to the Reporting Person continuously providing services to the Issuer as an employee through such vesting date. /s/ Ezequiel Javier Brandwain 2022-10-03