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