Shamian Moran Rachel Amran Form 3 MICT / Shamian Moran Rachel Amran 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^*

Amran Shamian Moran Rachel

(Last) (First) (Middle)

28 WEST GRAND AVENUE, SUITE 3

(Street)

MONTVALE NJ 07645

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
01/23/2019

3. Issuer Name and Ticker or Trading Symbol
MICT, Inc. [ MICT ]

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

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
Principal Financial 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)
Common Stock, $0.001 par value per share	7,500	D

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
Employee Stock Option (right to buy)	(1)	11/11/2024	Common Stock	18,000	4.3	D
Employee Stock Option (right to buy)	(2)	06/06/2028	Common Stock	18,000	1.32	D

Explanation of Responses:

1. The option was granted on November 11, 2014 and was subject to the following vesting schedule: (i) options to purchase 6,000 shares of common stock vested immediately upon grant, (ii) options to purchase 6,000 shares of common stock vested on November 11, 2015 and (iii) options to purchase 6,000 shares of common stock vested on November 11, 2016.

2. The option was granted on June 6, 2018 and vested immediately upon issuance.

	/s/ Moran Rachel Amran Shamian	02/01/2019
	** 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).
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