Amir Eilam Form 3 ON TRACK INNOVATIONS / Amir Eilam 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^*

Eilam Amir

(Last) (First) (Middle)

AYELET HASHAHAR

(Street)

AYELET HASHAHAR L3 1220000

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
11/03/2021

3. Issuer Name and Ticker or Trading Symbol
ON TRACK INNOVATIONS LTD [ OTIVF ]

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

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
Chief Executive 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
Options (right to buy)	(1)	11/30/2021	Ordinary Shares	20,000	1.07	D
Options (right to buy)	(2)	03/17/2025	Ordinary Shares	10,000	0.28	D
Options (right to buy)	(3)	01/06/2026	Ordinary Shares	25,000	0.22	D

Explanation of Responses:

1. The option is exercisable in three equal installments. All installments became exercisable on 11/30/2017, 11/30/2018 and 11/30/2019, respectively, all subject to the terms and provisions of the Issuer's 2001 Share Option Plan, as amended.

2. The option is exercisable in three equal installments. The first installment became exercisable on 03/17/2021, and the next two installments become exercisable on 03/17/2022 and 03/17/2023, all subject to the terms and provisions of the Issuer's 2001 Share Option Plan, as amended.

3. The option is exercisable in three equal installments, on 01/06/2022, 01/06/2023 and 01/06/2024, all subject to the terms and provisions of the Issuer's 2001 Share Option Plan, as amended.

	/s/ Amir Eilam	11/15/2021
	** 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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