0001213900-22-016950.txt : 20220331
0001213900-22-016950.hdr.sgml : 20220331
20220331172123
ACCESSION NUMBER: 0001213900-22-016950
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220329
FILED AS OF DATE: 20220331
DATE AS OF CHANGE: 20220331
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Amusa Gbolahan
CENTRAL INDEX KEY: 0001761120
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38762
FILM NUMBER: 22794365
MAIL ADDRESS:
STREET 1: 17 STATE STREET 21 FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10004
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: BiomX Inc.
CENTRAL INDEX KEY: 0001739174
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 22 EINSTEIN ST., 5TH FLOOR
CITY: NESS ZIONA
STATE: L3
ZIP: 7414003
BUSINESS PHONE: (972) 72 394 2377
MAIL ADDRESS:
STREET 1: 22 EINSTEIN ST., 5TH FLOOR
CITY: NESS ZIONA
STATE: L3
ZIP: 7414003
FORMER COMPANY:
FORMER CONFORMED NAME: Chardan Healthcare Acquisition Corp.
DATE OF NAME CHANGE: 20180430
4
1
ownership.xml
X0306
4
2022-03-29
0
0001739174
BiomX Inc.
PHGE
0001761120
Amusa Gbolahan
C/O BIOMX LTD., 22 EINSTEIN ST., FLOOR 5
NESS ZIONA,
L3
7414003
ISRAEL
1
0
0
0
Common Stock Options - Right to Buy
1.41
2022-03-29
4
A
0
20500
0
A
2032-03-29
Common Stock
20500
20500
D
The options vest and become exercisable over four years, with 25% of the shares subject to the option vesting on March 29, 2023, and the remainder vesting in 12 equal quarterly installments over three years.
/s/ Gbola Amusa
2022-03-31