0001213900-24-029078.txt : 20240402 0001213900-24-029078.hdr.sgml : 20240402 20240402091300 ACCESSION NUMBER: 0001213900-24-029078 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240401 FILED AS OF DATE: 20240402 DATE AS OF CHANGE: 20240402 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Barlev Tuvia CENTRAL INDEX KEY: 0001927656 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41375 FILM NUMBER: 24812415 MAIL ADDRESS: STREET 1: C/O ACTELIS NETWORKS, INC. STREET 2: 47800 WESTINGHOUSE DRIVE CITY: FREMONT STATE: CA ZIP: 94539 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ACTELIS NETWORKS INC CENTRAL INDEX KEY: 0001141284 STANDARD INDUSTRIAL CLASSIFICATION: COMMUNICATIONS EQUIPMENT, NEC [3669] ORGANIZATION NAME: 04 Manufacturing IRS NUMBER: 522160309 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4039 CLIPPER COURT CITY: FREMONT STATE: CA ZIP: 94538 BUSINESS PHONE: 510-545-1040 MAIL ADDRESS: STREET 1: 4039 CLIPPER COURT CITY: FREMONT STATE: CA ZIP: 94538 4 1 ownership.xml X0508 4 2024-04-01 0 0001141284 ACTELIS NETWORKS INC ASNS 0001927656 Barlev Tuvia 4039 CLIPPER COURT FREMONT CA 94538 1 1 0 0 CEO and Chairman of the Board 0 Common stock, par value $0.0001 2024-04-01 4 S 0 8965 1.11 A 170504 D This report is of acquisition of securities by the reporting person pursuant to a Rule 10b5-1 trading plan signed between the reporting person and a broker on 12/15/2023. The maximum number of securities to be purchased under the trading plan is $10,000 notional amount, at market price. The acquisition of the securities does not represent a discretionary transaction by the Reporting Person. The purchase period pursuant to the 10b5-1 trading plan adopted by the reporting person is 4/1/2024 until 6/1/2024. /s/ Tuvia Barlev 2024-04-02