0001213900-21-029880.txt : 20210528 0001213900-21-029880.hdr.sgml : 20210528 20210528150450 ACCESSION NUMBER: 0001213900-21-029880 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210517 FILED AS OF DATE: 20210528 DATE AS OF CHANGE: 20210528 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: 21979599 MAIL ADDRESS: STREET 1: 6209 SHADYCLIFF DRIVE CITY: DALLAS STATE: TX ZIP: 75240 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 X0306 4 2021-05-17 0 0001021604 ON TRACK INNOVATIONS LTD OTIVF 0001638814 Anderson William Carl III 6209 SHADYCLIFF DRIVE DALLAS TX 75240 1 0 0 0 Ordinary Shares 2021-05-17 4 X 0 1590496 0.174 A 3650496 D Subscription Rights (right to buy) 0.174 2021-05-17 4 X 0 1590496 0 A 2021-04-20 2021-05-19 Ordinary Shares 1590496 0 D /s/ William C. Anderson 2021-05-28