Elad Domanovitz Form 3 ACTELIS NETWORKS / Elad Domanovitz 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^*

Domanovitz Elad

(Last) (First) (Middle)

47800 WESTINGHOUSE DRIVE

(Street)

FREMONT CA 94539

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
05/12/2022

3. Issuer Name and Ticker or Trading Symbol
ACTELIS NETWORKS INC [ ASNS ]

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

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
Chief Technology 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
Option	(1)	06/30/2025	Common Stock	10,978	0.0644	D
Option	(2)	01/21/2026	Common Stock	1,098	0.0644	D
Option	(3)	06/08/2027	Common Stock	5,435	0.1058	D
Option	(4)	03/06/2029	Common Stock	17,391	0.1058	D
Option	(5)	12/30/2029	Common Stock	17,391	0.1058	D

Explanation of Responses:

1. This Option grant vested in full on 06/29/2019.

2. This Option grant vested in full on 01/20/2020.

3. This Option grant vested in full on 06/07/2021.

4. This Option grant vested in full on 03/06/2019.

5. This Option grant vested in full on 12/30/2019.

	/s/ Elad Domanovitz	05/17/2022
	** 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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