Filing Details

Accession Number:
0001213900-20-045810
Form Type:
4
Zero Holdings:
No
Publication Time:
2020-12-31 17:25:04
Reporting Period:
2020-12-29
Accepted Time:
2020-12-31 17:25:04
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1218683 Wize Pharma Inc. WIZP Pharmaceutical Preparations (2834) 880445167
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1721808 Ltd Assets Gold Rimon C/O Wize Pharma, Inc.
24 Hanagar Street
Hod Hasharon L3 4527708
No No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2020-12-29 400,000 $0.00 4,002,925 No 4 X Direct
Common Stock Disposition 2020-12-29 3,077 $0.00 3,999,848 No 4 S Direct
Common Stock Acquisiton 2020-12-29 3,385,212 $0.00 7,385,060 No 4 X Direct
Common Stock Disposition 2020-12-29 28,210 $0.00 7,356,850 No 4 S Direct
Common Stock Acquisiton 2020-12-29 520,820 $0.00 7,877,670 No 4 X Direct
Common Stock Disposition 2020-12-29 4,340 $0.00 7,873,330 No 4 S Direct
Common Stock Acquisiton 2020-12-29 350,334 $0.00 7,522,996 No 4 X Direct
Common Stock Disposition 2020-12-29 2,919 $0.00 7,520,077 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 X Direct
No 4 S Direct
No 4 X Direct
No 4 S Direct
No 4 X Direct
No 4 S Direct
No 4 X Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrant (right to buy) Disposition 2020-12-29 400,000 $0.00 400,000 $0.16
Common Stock Warrant (right to buy) Disposition 2020-12-29 3,385,212 $0.00 3,385,212 $0.27
Common Stock Warrant (right to buy) Disposition 2020-12-29 520,820 $0.00 520,820 $0.16
Common Stock Future Investment Rights Disposition 2020-12-29 350,334 $0.00 350,334 $0.27
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2019-04-21 2023-10-23 No 4 X Direct
0 2024-12-12 No 4 X Direct
0 2019-05-31 2021-05-30 No 4 X Direct
0 2019-12-13 2024-12-12 No 4 X Direct
Footnotes
  1. On December 23, 2020 the registrant has voluntary reduced the exercise price of warrants to $0.001. The reporting person exercised a warrant to purchase shares of the registrant's common stock for the reduced exercise price.
  2. On December 29, 2020 the reporting person exercised a warrant to purchase 400,000 shares of the registrant's common stock for $0.16 a share. The reporting person paid the exercise price on a cashless basis, resulting in the registrant withholding of 3,077 of the warrant shares to pay the exercise price and issuing to the reporting person the remaining 396,923 shares.
  3. On December 29, 2020 the reporting person exercised a warrant to purchase 3,385,212 shares of the registrant's common stock for $0.27 a share. The reporting person paid the exercise price on a cashless basis, resulting in the registrant withholding of 28,210 of the warrant shares to pay the exercise price and issuing to the reporting person the remaining 3,357,002 shares.
  4. On December 29, 2020 the reporting person exercised a warrant to purchase 520,820 shares of the registrant's common stock for $0.16 a share. The reporting person paid the exercise price on a cashless basis, resulting in the registrant withholding of 4,340 of the warrant shares to pay the exercise price and issuing to the reporting person the remaining 516,480 shares.
  5. On December 29, 2020 the reporting person exercised a warrant to purchase 350,334 shares of the registrant's common stock for $0.27 a share. The reporting person paid the exercise price on a cashless basis, resulting in the registrant withholding of 2,919 of the warrant shares to pay the exercise price and issuing to the reporting person the remaining 347,415 shares.
  6. Exercisable five days following the public announcement of positive clinical data results for LO2A.