0001213900-16-018961.txt : 20161128 0001213900-16-018961.hdr.sgml : 20161128 20161128060217 ACCESSION NUMBER: 0001213900-16-018961 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161123 FILED AS OF DATE: 20161128 DATE AS OF CHANGE: 20161128 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Anderson William Carl III CENTRAL INDEX KEY: 0001638814 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-49877 FILM NUMBER: 162018522 MAIL ADDRESS: STREET 1: 6209 SHADYCLIFF DRIVE CITY: DALLAS STATE: TX ZIP: 75240 4 1 f4112316anderson_ontrack.xml OWNERSHIP DOCUMENT X0306 4 2016-11-23 0 0001021604 ON TRACK INNOVATIONS LTD OTIV 0001638814 Anderson William Carl III 6209 SHADYCLIFF DRIVE DALLAS TX 75240 1 0 0 0 Ordinary Shares 2016-11-23 4 P 0 18 1.20 A 40018 D Ordinary Shares 2016-11-23 4 P 0 19982 1.22 A 60000 D /s/ Anderson III William C. 2016-11-23