0001213900-21-002837.txt : 20210119 0001213900-21-002837.hdr.sgml : 20210119 20210119160235 ACCESSION NUMBER: 0001213900-21-002837 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210114 FILED AS OF DATE: 20210119 DATE AS OF CHANGE: 20210119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cohen Assaf CENTRAL INDEX KEY: 0001733131 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-49877 FILM NUMBER: 21535463 MAIL ADDRESS: STREET 1: ZHR INDUSTRIAL ZONE, P.O. BOX 32 CITY: ROSH PINA STATE: L3 ZIP: 1200001 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: HATNUFA 5 STREET 2: YOKNEAM INDUSTRIAL ZONE CITY: YOKNEAM STATE: L3 ZIP: 2069200 BUSINESS PHONE: 972 4 686-8021 MAIL ADDRESS: STREET 1: HATNUFA 5 STREET 2: YOKNEAM INDUSTRIAL ZONE CITY: YOKNEAM STATE: L3 ZIP: 2069200 4 1 ownership.xml OWNERSHIP DOCUMENT X0306 4 2021-01-14 0 0001021604 ON TRACK INNOVATIONS LTD OTIVF 0001733131 Cohen Assaf HATNUFA 5, YOKNEAM INDUSTRIAL ZONE BOX 372 YOKNEAM L3 2069200 ISRAEL 0 1 0 0 Chief Financial Officer Stock Option (right to buy) 0.22 2021-01-14 4 A 0 50000 0 A 2026-01-14 Ordinary Shares 50000 50000 D The option is exercisable in three equal installments on each of 1/14/2022, 1/14/2023 and 1/14/2024, all subject to the terms and provisions of the Issuer's 2001 Share Option Plan, as amended. /s/ Assaf Cohen 2021-01-19