0001213900-19-024828.txt : 20191127 0001213900-19-024828.hdr.sgml : 20191127 20191127084418 ACCESSION NUMBER: 0001213900-19-024828 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191125 FILED AS OF DATE: 20191127 DATE AS OF CHANGE: 20191127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Holtzman Yehuda CENTRAL INDEX KEY: 0001794096 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-49877 FILM NUMBER: 191253270 MAIL ADDRESS: STREET 1: Z.H.R. INDUSTRIAL ZONE, P.O. BOX 32 CITY: ROSH-PINA STATE: L3 ZIP: 12000 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ON TRACK INNOVATIONS LTD CENTRAL INDEX KEY: 0001021604 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 000000000 STATE OF INCORPORATION: L3 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: P O BOX 32 STREET 2: ZHR INDUSTRIAL ZONE CITY: ROSH PINAISRAEL STATE: L3 ZIP: 1210001 BUSINESS PHONE: 972 4 686-8021 MAIL ADDRESS: STREET 1: ZHR INDUSTRIAL ZONE STREET 2: PO BOX 32 CITY: ROSH PINA IARAEL STATE: L3 ZIP: 1210001 4 1 ownership.xml OWNERSHIP DOCUMENT X0306 4 2019-11-25 0 0001021604 ON TRACK INNOVATIONS LTD OTIVF 0001794096 Holtzman Yehuda Z.H.R. INDUSTRIAL ZONE, P.O. BOX 32 ROSH PINA L3 1200000 ISRAEL 0 1 0 0 Chief Executive Officer Stock Option (right to buy) 0.23 2019-11-25 4 A 0 450000 0 A 2024-11-25 Ordinary Shares 450000 450000 D The option is exercisable in three equal installments on each of 11/25/2020, 11/25/2021 and 11/25/2022, all subject to the terms and provisions of the Issuer's 2001 Share Option Plan, as amended. /s/ Yehuda Holtzman 2019-11-27