0001056520-12-000051.txt : 20120214 0001056520-12-000051.hdr.sgml : 20120214 20120214135036 ACCESSION NUMBER: 0001056520-12-000051 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120214 DATE AS OF CHANGE: 20120214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ivy Jerry Lafe JR CENTRAL INDEX KEY: 0001526770 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-49877 FILM NUMBER: 12607399 MAIL ADDRESS: STREET 1: 2125 1ST AVE #3002 CITY: SEATTLE STATE: WA ZIP: 98121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ON TRACK INNOVATIONS LTD CENTRAL INDEX KEY: 0001021604 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: P O BOX 32 STREET 2: ZHR INDUSTRIAL ZONE CITY: ROSH PINAISRAEL STATE: L3 BUSINESS PHONE: 2126616500 MAIL ADDRESS: STREET 1: ZHR INDUSTRIAL ZONE STREET 2: PO BOX 32 CITY: ROSH PINA IARAEL STATE: L3 ZIP: 00000 5 1 primary_doc.xml PRIMARY DOCUMENT X0304 5 2011-12-31 1 0 0 0001021604 ON TRACK INNOVATIONS LTD OTIV 0001526770 Ivy Jerry Lafe JR 2125 1ST AVE #3002 SEATTLE WA 98121 0 0 0 1 Private Investor Common Stock 2011-11-29 5 P 0 11199 1.38 A 3063916 D Reporting shareholder filed a Form 3 on July 27, 2011, in error since he was not subject to Section 16 of the Securiites Act of 1934. This Fom 5 does not reflect all transactions by the reporting shareholder and is only being filed to report that he is not subject to Section 16. Jerry Ivy 2012-02-14