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