0001213900-23-081868.txt : 20231031 0001213900-23-081868.hdr.sgml : 20231031 20231031171355 ACCESSION NUMBER: 0001213900-23-081868 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231029 FILED AS OF DATE: 20231031 DATE AS OF CHANGE: 20231031 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bassan Merav CENTRAL INDEX KEY: 0001792702 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38762 FILM NUMBER: 231365664 MAIL ADDRESS: STREET 1: C/O BIOMX LTD. STREET 2: 7 PINHAS SAPIR ST., FLOOR 2 CITY: NESS ZIONA STATE: L3 ZIP: 7414002 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: 22 EINSTEIN ST., 4TH FLOOR CITY: NESS ZIONA STATE: L3 ZIP: 7414003 BUSINESS PHONE: (972) 72 394 2377 MAIL ADDRESS: STREET 1: 22 EINSTEIN ST., 4TH FLOOR CITY: NESS ZIONA STATE: L3 ZIP: 7414003 FORMER COMPANY: FORMER CONFORMED NAME: Chardan Healthcare Acquisition Corp. DATE OF NAME CHANGE: 20180430 4 1 ownership.xml X0508 4 2023-10-29 0 0001739174 BiomX Inc. PHGE 0001792702 Bassan Merav C/O BIOMX INC., 22 EINSTEIN ST., FLOOR 4 NESS ZIONA, L3 7414003 ISRAEL 0 1 0 0 Chief Development Officer 0 Common Stock Options - Right to Buy 9.998 2023-10-29 4 D 0 189997 0 D 2029-10-10 Common Stock 0 0 D Common Stock Options - Right to Buy 0.275 2023-10-29 4 A 0 189997 0 A 2029-10-10 Common Stock 0 0 D The reported transactions involved an amendment of an outstanding option, resulting in the deemed cancellation of the "old" option and the grant of a replacement option. The option was originally granted on 10/10/2019 and provides for vesting over four years, with 25% of the shares subject to the option vested on 10/10/2020, and the remainder vesting in 12 equal quarterly installments over three years; provided, however, none of the "new" options may be exercised prior to October 29, 2024. /s/ Merav Bassan 2023-10-31