0001213900-21-028442.txt : 20210521 0001213900-21-028442.hdr.sgml : 20210521 20210521171743 ACCESSION NUMBER: 0001213900-21-028442 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210514 FILED AS OF DATE: 20210521 DATE AS OF CHANGE: 20210521 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Amran Shamian Moran Rachel CENTRAL INDEX KEY: 0001766442 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35850 FILM NUMBER: 21950242 MAIL ADDRESS: STREET 1: 28 WEST GRAND AVENUE STREET 2: SUITE 3 CITY: MONTVALE STATE: NJ ZIP: 07645 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MICT, Inc. CENTRAL INDEX KEY: 0000854800 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPONENTS & ACCESSORIES [3670] IRS NUMBER: 270016420 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 28 WEST GRAND AVENUE, SUITE 3 CITY: MONTVALE STATE: NJ ZIP: 07645 BUSINESS PHONE: 201-225-0190 MAIL ADDRESS: STREET 1: 28 WEST GRAND AVENUE, SUITE 3 CITY: MONTVALE STATE: NJ ZIP: 07645 FORMER COMPANY: FORMER CONFORMED NAME: MICRONET ENERTEC TECHNOLOGIES, INC. DATE OF NAME CHANGE: 20130318 FORMER COMPANY: FORMER CONFORMED NAME: LAPIS TECHNOLOGIES INC DATE OF NAME CHANGE: 19890829 4 1 ownership.xml X0306 4 2021-05-14 0 0000854800 MICT, Inc. MICT 0001766442 Amran Shamian Moran Rachel 28 WEST GRAND AVENUE, SUITE 3 MONTVALE NJ 07645 0 1 0 0 Controller Options to purchase Common Stock 1.41 2021-05-17 4 A 0 125000 1.41 D 2021-05-17 2031-05-17 Common Stock 125000 125000 D On May 17, 2021, the reporting person received the option to purchase 125,000 shares of common stock at $1.41 per share. /s/ Moran Amram 2021-05-19