0001213900-19-027219.txt : 20191230 0001213900-19-027219.hdr.sgml : 20191230 20191230180156 ACCESSION NUMBER: 0001213900-19-027219 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191220 FILED AS OF DATE: 20191230 DATE AS OF CHANGE: 20191230 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GROSSMAN JONAS CENTRAL INDEX KEY: 0001423905 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38762 FILM NUMBER: 191317593 MAIL ADDRESS: STREET 1: 17 STREET STREET 2: SUITE 1600 CITY: NEW YORK STATE: NY ZIP: 10004 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BiomX Inc. CENTRAL INDEX KEY: 0001739174 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 17 STATE STREET, 16TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10004 BUSINESS PHONE: 646-465-9000 MAIL ADDRESS: STREET 1: 17 STATE STREET, 16TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10004 FORMER COMPANY: FORMER CONFORMED NAME: Chardan Healthcare Acquisition Corp. DATE OF NAME CHANGE: 20180430 4 1 ownership.xml X0306 4 2019-12-20 0 0001739174 BiomX Inc. PHGE 0001423905 GROSSMAN JONAS C/O CHARDAN CAPITAL MARKETS LLC 17 STATE STREET, 21 FLOOR NEW YORK NY 10004 1 0 1 0 Warrants 11.50 2019-11-27 2024-10-28 Common Stock 25064 50129 D Warrants 11.50 2019-12-20 4 J 0 2900000 0 D 2019-11-27 2024-10-28 Common Stock 2900000 0 I See footnote Represents private warrants held by Mountain Wood, LLC of which Jonas Grossman ceased to be managing member on December 20, 2019. Upon Mr. Grossman no longer being managing member of Moutain Wood, LLC, he ceased to beneficially own the shares held by Mountain Wood, LLC. /s/ Jonas Grossman 2019-12-30