0001213900-18-000008.txt : 20180102 0001213900-18-000008.hdr.sgml : 20180102 20180102063431 ACCESSION NUMBER: 0001213900-18-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171228 FILED AS OF DATE: 20180102 DATE AS OF CHANGE: 20180102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Zarachia Yaakov CENTRAL INDEX KEY: 0001721667 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52545 FILM NUMBER: 18500089 MAIL ADDRESS: STREET 1: 10 TZEMACH TZEDEK ST. CITY: LOD STATE: L3 ZIP: 7132130 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Wize Pharma, Inc. CENTRAL INDEX KEY: 0001218683 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 880445167 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5B HANAGAR STREET CITY: HOD HASHARON STATE: L3 ZIP: 4527708 BUSINESS PHONE: 972 472 260 0536 MAIL ADDRESS: STREET 1: 5B HANAGAR STREET CITY: HOD HASHARON STATE: L3 ZIP: 4527708 FORMER COMPANY: FORMER CONFORMED NAME: OphthaliX, Inc. DATE OF NAME CHANGE: 20120207 FORMER COMPANY: FORMER CONFORMED NAME: DENALI CONCRETE MANAGEMENT INC DATE OF NAME CHANGE: 20030213 4 1 f4122817zarachia_wizepharma.xml OWNERSHIP DOCUMENT X0306 4 2017-12-28 0 0001218683 Wize Pharma, Inc. WIZP 0001721667 Zarachia Yaakov 10 TZEMECH TZEDEK STREET LOD L3 7132130 ISRAEL 0 0 1 0 Common Stock, par value $0.001 per share 2017-12-28 4 P 0 9289 0.11 A 12292615 D Common Stock, par value $0.001 per share 2017-12-29 4 P 0 20711 0.11 A 12313326 D /s/ Yaakov Zarachia 2018-01-02