Registration Form • Dec 3, 2022
Registration Form
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| ea169451-s8_foresightauto.htm | Form Type: S-8 | Page 1 |
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| Edgar Agents LLC | FORESIGHT AUTONOMOUS HOLDINGS LTD. | 12/01/2022 08:11 PM |
FORM S-8
Foresight Autonomous Holdings Ltd. (Exact name of registrant as specified in its charter)
State of Israel Not applicable
(State or other jurisdiction of incorporation or organization)
Identification No.)
7 Golda Meir, Ness Ziona, 7414001 Israel (Address of Principal Executive Offices)
Foresight Autonomous Holdings Ltd. 2016 Equity Incentive Plan (Full title of the plan)
Sullivan & Worcester LLP 1633 Broadway, New York, NY 10019 212-660-5000
(Name, address and telephone number of agent for service)
COPIES TO:
Oded Har-Even, Esq. Ron Ben-Bassat, Esq. Sullivan & Worcester LLP 1633 Broadway New York, NY 10019 (212)-660-3000
Eitan Shmueli, Adv. Gregory Irgo, Adv. Lipa Meir & Co 2 Weitzman St Tel Aviv 6423902, Israel (972) 3-607-0690
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See definitions of "large accelerated filer," "accelerated filer," "smaller reporting company" and "emerging growth company" in Rule 12b-2 of the Exchange Act.
Large accelerated filer ☐ Accelerated filer ☐
Non-accelerated filer ☒ Smaller reporting company ☐ Emerging growth company ☒
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 7(a)(2)(B) of the Securities Act. ☐
Registration No. 333-
(I.R.S. Employer
| ea169451-s8_foresightauto.htm | Form Type: S-8 | Page 2 |
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| Edgar Agents LLC | FORESIGHT AUTONOMOUS HOLDINGS LTD. | 12/01/2022 08:11 PM |
The purpose of this Registration Statement on Form S-8, or the Registration Statement, is to register 18,500,000 additional Ordinary Shares of Foresight Autonomous Holdings Ltd., the "Registrant" or the "Company," to be reserved for issuance under the Foresight Autonomous Holdings Ltd. 2016 Equity Incentive Plan, or the "Plan," which are in addition to the 41,923,073 Ordinary Shares under the Plan registered on the Company's Registration Statements on Form S-8 filed by the Registrant with the Securities and Exchange Commission, or the "Commission," on June 26, 2020 (Commission File No. 333- 239474) and on February 15, 2019 (Commission File No. 333-229716), or the "Prior Registration Statements."
This Registration Statement relates to securities of the same class as those to which the Prior Registration Statements relate and is submitted in accordance with General Instruction E to Form S-8 regarding registration of Additional Securities. Pursuant to Instruction E of Form S-8, the contents of the Prior Registration Statements are incorporated herein by reference and made part of this Registration Statement, except as amended hereby.
The increase in the number of Ordinary Shares authorized for issuance under the Plan was approved by the board of directors of the Company on November 24, 2022.
| ea169451-s8_foresightauto.htm | Form Type: S-8 | Page 3 |
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| Edgar Agents LLC | FORESIGHT AUTONOMOUS HOLDINGS LTD. | 12/01/2022 08:11 PM |
The documents containing the information required in Part I of this registration statement have been or will be sent or given to participating employees of the Plan as specified in Rule 428(b)(1) under the Securities Act of 1933, as amended, or the Securities Act, in accordance with the rules and regulations of the United States Securities and Exchange Commission, or the Commission. Such documents are not being filed with the Commission either as part of this Registration Statement or as prospectuses or prospectus supplements pursuant to Rule 424 of the Securities Act. These documents and the documents incorporated by reference into this Registration Statement pursuant to Item 3 of Part II of this registration statement, taken together, constitute a prospectus that meets the requirements of Section 10(a) of the Securities Act.
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| Edgar Agents LLC | FORESIGHT AUTONOMOUS HOLDINGS LTD. | 12/01/2022 08:11 PM |
The following additional documents, which have been filed by the Registrant with the Commission are incorporated by reference in and made a part of this Registration Statement, as of their respective dates:
In addition to the foregoing, all documents subsequently filed by the Registrant pursuant to Sections 13(a), 13(c), 14 and 15(d) of the Exchange Act, and all reports on Form 6-K subsequently filed by the Registrant which state that they are incorporated by reference herein, prior to the filing of a post-effective amendment which indicates that all securities offered hereunder have been sold or which deregisters all securities then remaining unsold, shall be deemed to be incorporated by reference herein and to be part hereof from the date of filing of such documents and reports.
Any statement contained in a document incorporated or deemed to be incorporated by reference herein shall be deemed to be modified or superseded for purposes of this Registration Statement to the extent that a statement herein, or in any subsequently filed document which also is or is deemed to be incorporated by reference, modifies or supersedes such statement. Any statement so modified or superseded shall not be deemed, except as so modified or superseded, to constitute a part of this Registration Statement.
II-1
| ea169451-s8_foresightauto.htm | Form Type: S-8 | Page 5 |
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| Edgar Agents LLC | FORESIGHT AUTONOMOUS HOLDINGS LTD. | 12/01/2022 08:11 PM |
| 4.1 | Articles of Association of Foresight Autonomous Holdings Ltd. (unofficial English translation from Hebrew original), filed as part of Exhibit 99.1.1 to Form 6-K filed on August 16, 2019, and incorporated herein by reference. |
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|---|---|---|---|---|---|
| 5.1* | Opinion of Lipa Meir & Co. | ||||
| 23.1* | Consent of Brightman Almagor Zohar & Co. Certified Public Accountants A Firm in the Deloitte Global Network. | ||||
| 23.2* | Consent of Lipa Meir & Co (included in the opinion filed as Exhibit 5.1 to this Registration Statement). | ||||
| 24.1* | Power of Attorney (included on signature page) | ||||
| 99.1 | Foresight Autonomous Holdings Ltd. 2016 Equity Incentive Plan (unofficial English translation from Hebrew original), filed as Exhibit | ||||
| 4.6 to Form 20-F (File No. 001-38094) filed on March 27, 2018, and incorporated herein by reference. | |||||
II-2
| ea169451-s8_foresightauto.htm | Form Type: S-8 | Page 6 |
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| Edgar Agents LLC | FORESIGHT AUTONOMOUS HOLDINGS LTD. | 12/01/2022 08:11 PM |
Pursuant to the requirements of the Securities Act of 1933, as amended, the Registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-8 and has duly caused this Registration Statement on Form S-8 to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Ness Ziona, State of Israel, on December 2, 2022.
By: /s/ Haim Siboni
Name: Haim Siboni Title: Chief Executive Officer
We, the undersigned officers and directors of Foresight Autonomous Holdings Ltd., hereby severally constitute and appoint Haim Siboni and Eli Yoresh, and each of them individually, our true and lawful attorney to sign for us and in our names in the capacities indicated below any and all amendments or supplements, including any post-effective amendments, to this Registration Statement on Form S-8 and to file the same, with exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, granting unto said attorney full power and authority to do and perform each and every act and thing requisite or necessary to be done in and about the premises, as fully to all intents and purposes as he or she might or could do in person, hereby ratifying and confirming our signatures to said amendments to this Registration Statement signed by our said attorney and all else that said attorney may lawfully do and cause to be done by virtue hereof.
Pursuant to the requirements of the Securities Act, this Registration Statement on Form S-8 has been signed below by the following persons in the capacities and on the dates indicated.
| Signature | Title | Date | |
|---|---|---|---|
| /s/ Haim Siboni Haim Siboni |
Chief Executive Officer and Chairman of the Board (principal executive officer) |
December 2, 2022 | |
| /s/ Eli Yoresh Eli Yoresh |
Chief Financial Officer (principal financial officer and principal accounting officer) |
December 2, 2022 | |
| /s/ Ehud Aharoni Ehud Aharoni |
Director | December 2, 2022 | |
| /s/ Daniel Avidan Daniel Avidan |
Director | December 2, 2022 | |
| /s/ Zeev Levenberg Zeev Levenberg |
Director | December 2, 2022 | |
| /s/ Vered Raz-Avayo Vered Raz-Avayo |
Director | December 2, 2022 | |
| /s/ Moshe Scherf Moshe Scherf |
Director | December 2, 2022 |
| ea169451-s8_foresightauto.htm | Form Type: S-8 | Page 7 |
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| Edgar Agents LLC | FORESIGHT AUTONOMOUS HOLDINGS LTD. | 12/01/2022 08:11 PM |
Pursuant to the Securities Act of 1933, as amended, the undersigned, Sullivan & Worcester LLP, the duly authorized representative in the United States of Foresight Autonomous Holdings Ltd., has signed this Registration Statement on Form S-8 on December 2, 2022.
/s/ Sullivan & Worcester LLP
Sullivan & Worcester LLP
| ea169451ex5-1_foresightauto.htm | Form Type: EX-5.1 | Page 1 |
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| Edgar Agents LLC | FORESIGHT AUTONOMOUS HOLDINGS LTD. | 12/01/2022 08:11 PM |
| DR. IRIT MEVORACH (IV) | ד ר אירית מבורך (IV) | טל אסולין-מנחמוב | |||||
|---|---|---|---|---|---|---|---|
| SYI VIA GAI - YAHAV SHAY TAMAR |
FLIA BEN-DOR TAL ASULIN-MENAHEMOV |
YAEI GABAI NOA STETTNER |
DR. YEHUDA BEN-MEIR (IV) | ד"ר יהודה בן מאיר ( (IV) | יעל גבאי נוער, שטטנר |
אלה בן-דור | סילביה גל-יהב שי תמר |
| TALI LEV (IVID) | YONI SHTAINMETZ | EVE NAVE | RONEN BAHARAV | חנו בהרב | איב נווה | יוני שטינמץ | טלי לב (1/11) |
| MEIR ELBAUM | GUY MESHULAM | ORLY ACKERSTEIN | EYAL KHAYAT | איל חיאט | אורלי אקרשטיין | גיא משולם | מאיר אלבוים |
| DR. YARIV ILAN | RONA HENIG | RAVID AMIKAM | רביד עמיקם | רונה הניג | ד"ר יריב אילו | ||
| DAVID WEINSTEIN | LILACH HOEK | REUT SHAULI | רעות שאולי | לילר הוה | דוד וינשטיין | ||
| GALI OPINSKY | NIR MENAHEM | MARY LIPNITSKY | מריה ליפניצקי | ניר מנחם | גלי אופינסקי | ||
| DR TZIPLISER ITSIO | REUT BEITZ | TAL PERI | טל חרי | רעות בייע | ד"ר ציפי איטר איציק | ||
| SHIRLEY IFRACH-AZOR | LIHI ELIMELECH | MAOR ZILKA | מאזר זילכה | ליהי אלימלך | שירלי יפרח-אחר | ||
| EREZ TIK | AYELET RAM | EDEN REVIVO | עדו רביבו | איילת רם | ארז תיק | ||
| AMIR ZOLTY | DOR AVINERY | TSILL DAHAN KENAN | צליל דהן קינו | דור אבינרי | אמיר זולטי | ||
| EITAN SHIMLIELI | ISAAC ANIDJAR | NOF SADEH | נוף שדה | יצחק אנידגר | איתו שמואלי | ||
| SHABTAI MICHAELI | SHUKI LEVI | TZAH COHEN | צח כהן | שוקי לוי | שבתאי מיכאלי | ||
| MICHAL SCHWARTZ | TAL GRANOT | SHIR DIGMI-TAL | שיר דיגמי-טל | טל גרנות | מיכל שורץ | ||
| DR. ZIV M. PREIS (II) | GREGORY IRGO | MORIA MIZRAHI | NATALIE SHVA | נטלי שבא | מוריה מזרחי | גרגורי אירגו | ד"ר זיו פרייז (II) |
| YARIV SHALOM | YAARA FRUEND-AVRAHAM | OR SHI OMO NEVO | MAOR TZIDKIYAHU | מאור צדקיהו | אור שלמה נבו | יערה פרוינד-אברהם | יריב שלום |
| EREZ DAR LULU | KARNIT AKRISH | TAI MORAG | NIV MICHAELI | ניב מיכאלי | טל מורג | הרנית אקריש | ארז דר לולו |
| GAD AZOR | ELAD SHULMAN | IDO ZABOROF | INBAR MENINGER JUHL | שנבר מנינגר יול | עידו זבורוף | אלעד שולמו | גד אזור |
| GARY COPELOVITZ | OMER MEIRI | SHAHAF ROTH-KLEIN | TALYA HERRING | טליה הריוג | שחף רוט-קליין | עתמר מאירי | גרי קופלוביץ |
| UZI MOR | SHIMRIT CARMY NAAMAT | RIVKA LAPID | CHEN FISOF | חו פישהוף | רבקה לפיד | שמרית כרמי-נעמת | שודי מור |
| ALON POMERANC | YOSSI MANDEL BAUM | TAL KOLODNY | MOR SCHREIBER | מור שרייבר | טלי קולודני | יוסי מנדלבאום | אלון פומרנץ |
| ZURIEL LAVIE | VERED ZLAIKHA | ISHAY LEVANON | RAVID TIV ISHAI | רביד טיב ישי | ישי לבנון | ורד זליכה | צוריאל לביא |
| DR. LIPA MEIR | ROY AI7 | RIMON DAYAN | OR BAR GUR | אור בר גור | רימון דיין | רועי אייז | ד"ר ליפא מאיר |
December 2, 2022
Foresight Autonomous Holdings Ltd. 7 Golda Meir St. Ness Ziona 7403650 Israel
We refer to the Registration Statement on Form S-8 (the "Registration Statement") to be filed with the Securities and Exchange Commission under the Securities Act of 1933, as amended (the "Act"), on behalf of Foresight Autonomous Holdings Ltd. (the "Company"), relating to 18,500,000 of the Company's Ordinary Shares, no par value per share (the "Shares"), under the Foresight Autonomous Holdings Ltd. 2016 Equity Incentive Plan (the "Plan").
We are members of the Israel Bar and we express no opinion as to any matter relating to the laws of any jurisdiction other than the laws of Israel.
In connection with this opinion, we have examined such corporate records, other documents, and such questions of Israeli law as we have considered necessary or appropriate. In such examination, we have assumed the genuineness of all signatures, the authenticity of all documents submitted to us as originals, the conformity to original documents of documents submitted to us as certified or photostatic copies, the authenticity of the originals of such copies and the due constitution of the Board of Directors of the Company.
Based on the foregoing and subject to the qualifications stated herein, we advise you that in our opinion, the Shares issuable under the Plan have been duly authorized and, when issued and paid for in accordance with the terms of the Plan, will be validly issued, fully paid and non-assessable.
We hereby consent to the filing of this opinion as part of the Registration Statement. This consent is not to be construed as an admission that we are a person whose consent is required to be filed with the Registration Statement under the provisions of the Act.
Sincerely yours,
/s/ Lipa Meir & Co
Lipa Meir & Co
| ea169451ex23-1_foresightauto.htm | Form Type: EX-23.1 | Page 1 |
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| Edgar Agents LLC | FORESIGHT AUTONOMOUS HOLDINGS LTD. | 12/01/2022 08:11 PM |
Exhibit 23.1
We consent to the incorporation by reference in this Registration Statement on Form S-8 pertaining to the 2016 Equity Incentive Plan of our report dated March 31, 2022, relating to the financial statements of Foresight Autonomous Holdings Ltd. appearing in the Annual Report on Form 20-F of Foresight Autonomous Holdings Ltd. for the year ended December 31, 2021.
/s/ Brightman Almagor Zohar & Co.
Brightman Almagor Zohar & Co. Certified Public Accountants A Firm in the Deloitte Global Network
Tel Aviv, Israel December 2, 2022
| ea169451ex-fee_foresightauto.htm | Form Type: EX-FILING FEES | Page 1 |
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| Edgar Agents LLC | FORESIGHT AUTONOMOUS HOLDINGS LTD. | 12/01/2022 08:11 PM |
Exhibit 107
(Form Type)
(Exact Name of Registrant as Specified in its Charter)
| Security Type |
Security Class Title |
Fee Calculation Newly Registered Securities |
Amount Registered (1)(2) |
Proposed Maximum Offering Price Per Share(4) |
Proposed Maximum Aggregate Offering Price |
Fee Rate | Amount of Registration Fee |
||
|---|---|---|---|---|---|---|---|---|---|
| Fees to Be | Equity | Ordinary shares, no | Rule 457(c) and | ||||||
| Paid | par value (3) | 457(h) | 18,500,000 \$ | 0.14 \$ | 2,590,000 \$0.0001102 \$ | 286 | |||
| Total Offering Amounts | \$ 2,590,000 |
\$ | 286 | ||||||
| Total Fees Previously Paid | \$ | 0 | |||||||
| Total Fee Offsets | \$ | 0 | |||||||
| Net Fee Due | \$ | 286 |
(1) Pursuant to Rule 416(a) under the Securities Act of 1933, as amended, or the Securities Act, this Registration Statement also covers an indeterminate number of additional securities which may be offered and issued to prevent dilution resulting from stock splits, stock dividends, recapitalizations or similar transactions.
(2) Represents Ordinary Shares reserved for issuance upon the exercise of options that may be granted under the plan to which this Registration Statement relates.
(3) American Depository Shares, or ADSs, evidenced by American Depository Receipts, or ADRs, issuable upon deposit of Ordinary Shares, no par value, of Foresight Autonomous Holdings Ltd., are registered on a separate Registration Statement on Form F-6 (File No. 333-217881). Each ADS represents five (5) Ordinary Shares.
(4) Estimated in accordance with paragraphs (c) and (h) of Rule 457 under the Securities Act solely for the purpose of calculating the registration fee based upon the average of the high and low sales price of an ADS as reported on the Nasdaq Capital Market on November 28, 2022.
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