0001213900-19-005668.txt : 20190402
0001213900-19-005668.hdr.sgml : 20190402
20190402202417
ACCESSION NUMBER: 0001213900-19-005668
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190331
FILED AS OF DATE: 20190402
DATE AS OF CHANGE: 20190402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Danenberg Noam
CENTRAL INDEX KEY: 0001720898
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-52545
FILM NUMBER: 19727220
MAIL ADDRESS:
STREET 1: 4 BOROCHOV ST
CITY: HOD HASHARON
STATE: L3
ZIP: 4520404
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Wize Pharma, Inc.
CENTRAL INDEX KEY: 0001218683
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 880445167
STATE OF INCORPORATION: DE
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
ownership.xml
OWNERSHIP DOCUMENT
X0306
4
2019-03-31
0
0001218683
Wize Pharma, Inc.
WIZP
0001720898
Danenberg Noam
C/O WIZE PHARMA, INC.
5B HANAGAR STREET
HOD HASHARON
L3
4527708
ISRAEL
1
1
0
0
Chairman
Restricted Stock Units (RSU)
2019-03-31
4
A
0
140000
0
A
Common Stock
140000
180100
D
Each RSU represents a right to receive one share of Wize Pharma, Inc. common stock.
Vest quarterly over a two year period commencing on the date of grant.
Includes RSUs issued to Danenberg Holdings.
/s/ Or Eisenberg, Attorney-in-Fact
2019-04-02