BiomX (PHGE) Form 3 BiomX / Sailaja Puttagunta ownership change

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

Puttagunta Sailaja

(Last) (First) (Middle)

C/O BIOMX LTD.

7 PINHAS SAPIR ST., FLOOR 2

(Street)

NESS ZIONA L3 7414002

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
10/28/2019

3. Issuer Name and Ticker or Trading Symbol
BiomX Inc. [ PHGE ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
Chief Medical Officer

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Common Stock Options-Right to Buy	(1)	12/05/2028	Common Stock Options	183,946	2.03	I	By SPB Consulting LLC(4)
Common Stock Options-Right to Buy	(2)	12/05/2028	Common Stock Options	73,579	2.03	I	By SPB Consulting LLC(4)
Common Stock Options-Right to Buy	(3)	03/29/2029	Common Stock Options	6,051	2.03	I	By SPB Consulting LLC(4)

Explanation of Responses:

1. 25% of these options shall vest on December 5, 2019 . Thereafter, the remaining options shall vest in 12 equal quarterly installments over three years. As of the reporting date, options to purchase 183,946 shares of common stock were unvested.

2. These options shall vest upon the achievement of specific performance-based milestones, as defined in the option grant. As of the reporting date, options to purchase 73,579 shares of common stock were unvested.

3. 25% of these options shall vest on March 29, 2020. Thereafter, the remaining options shall vest in 12 equal quarterly installments over three years. As of the reporting date, options to purchase 6,051 shares of common stock were unvested.

4. Options are held by SPB Consulting LLC. The reporting person is the sole member of SPB Consulting LLC and may be deemed the indirect beneficial owner of the securities held by SPB Consulting LLC.

	/s/ Sailaja Puttagunta	11/06/2019
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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