Major Shareholding Notification • Jan 16, 2022
Major Shareholding Notification
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SCHEDULE 13G/A (Amendment No. 3) (Rule 13d-102)
Foresight Autonomous Holdings Ltd.
(Name of Issuer)
Ordinary Shares (Title of Class of Securities)
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
☐ Rule 13d-1(b)
The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
| CUSIP No. 345523104 | 13G | Page 2 of 8 Pages | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | Names of Reporting Persons | ||||||||||
| Haim Siboni | |||||||||||
| 2. | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* | ||||||||||
| (See Instructions) (a) ☐ |
|||||||||||
| (b) ☐ | |||||||||||
| 3. | SEC Use Only | ||||||||||
| 4. | Citizenship or Place of Organization | ||||||||||
| Israel | |||||||||||
| NUMBER OF | 5. | Sole Voting Power | |||||||||
| 4,742,0001 | |||||||||||
| 6. | Shared Voting Power | ||||||||||
| SHARES | |||||||||||
| BENEFICIALLY OWNED BY |
23,751,6962 | ||||||||||
| EACH | 7. | Sole Dispositive Power | |||||||||
| REPORTING | 4,742,0001 | ||||||||||
| PERSON WITH |
8. | Shared Dispositive Power | |||||||||
| 23,751,6962 | |||||||||||
| 9. | Aggregate Amount Beneficially Owned by Each Reporting Person | ||||||||||
| 28,493,696 | |||||||||||
| 10. | Check if the Aggregate Amount in Row (9) Excludes Certain Shares | ||||||||||
| (See Instructions) | |||||||||||
| 11. | Percent of Class Represented by Amount in Row (9) | ||||||||||
| 8.7% | |||||||||||
| 12. | Type of Reporting Person (See Instructions) | ||||||||||
| IN | |||||||||||
1 Consists of options to purchase 4,742,000 Ordinary Shares exercisable within 60 days of December 31, 2021, owned by Haim Siboni.
2 Consists of 23,751,696 Ordinary Shares owned by Magna – B.S.P. Ltd. Haim Siboni is the chief executive officer and a director of Magna – B.S.P. Ltd. The change in the number of Ordinary Shares by Magna - B.S.P. Ltd. was not a result of any sale of the Ordinary Shares but as a result of a corporate restructuring of Magna – B.S.P. Ltd. in which certain shareholders of that entity exchanged their shares of Magna – B.S.P. Ltd. for the Issuer's Ordinary Shares.
| CUSIP No. 345523104 | 13G | Page 3 of 8 Pages | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | Names of Reporting Persons | |||||||||||
| Magna – B.S.P. Ltd. | ||||||||||||
| 2. | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* | |||||||||||
| (See Instructions) | ||||||||||||
| (a) ☐ (b) ☐ |
||||||||||||
| 3. | SEC Use Only | |||||||||||
| 4. | Citizenship or Place of Organization | |||||||||||
| Israel | ||||||||||||
| 5. | Sole Voting Power | |||||||||||
| 0 | ||||||||||||
| NUMBER OF | 6. | Shared Voting Power | ||||||||||
| SHARES | ||||||||||||
| BENEFICIALLY OWNED BY |
23,751,6961 | |||||||||||
| EACH | Sole Dispositive Power | |||||||||||
| REPORTING | 0 | |||||||||||
| PERSON WITH |
8. | Shared Dispositive Power | ||||||||||
| 9. | 23,751,6961 Aggregate Amount Beneficially Owned by Each Reporting Person |
|||||||||||
| 23,751,6961 | ||||||||||||
| 10. | Check if the Aggregate Amount in Row (9) Excludes Certain Shares | |||||||||||
| (See Instructions) | ||||||||||||
| 11. | ☐ Percent of Class Represented by Amount in Row (9) |
|||||||||||
| 7.36% | ||||||||||||
| 12. | Type of Reporting Person (See Instructions) | |||||||||||
| CO |
1 Consists of 23,751,696 Ordinary Shares owned by Magna – B.S.P. Ltd. The change in the number of Ordinary Shares by Magna - B.S.P. Ltd. was not a result of any sale of the Ordinary Shares but as a result of a corporate restructuring of Magna – B.S.P. Ltd. in which certain shareholders of that entity exchanged their shares of Magna – B.S.P. Ltd. for the Issuer's Ordinary Shares.
Foresight Autonomous Holdings Ltd.
7 Golda Meir Ness Ziona 741001 Israel
This Statement is filed on behalf of Haim Siboni and Magna – B.S.P. Ltd. (the "Reporting Persons").
The address of the Reporting Persons is:
Rotem Industrial Park D.N. Arava, Arava, 86800 Israel
Haim Siboni is a citizen of the State of Israel. Magna – B.S.P. Ltd. is incorporated in the State of Israel.
Ordinary Shares
345523104
Not applicable.
If filing as a non-U.S. institution in accordance with §240.13d-1(b)(1)(ii)(J), please specify the type of institution:_________________________
CUSIP No. 345523104 13G Page 5 of 8 Pages
(a) Amount beneficially owned:
28,493,6961 shares
(b) Percent of class:
8.7%
Haim Siboni has sole power to vote or to direct the vote of the Ordinary Shares underlying options to purchase 4,742,000 Ordinary Shares exercisable within 60 days of December 31, 2021.
Haim Siboni has sole power to dispose or to direct the disposition of options to purchase 4,742,000 Ordinary Shares exercisable within 60 days of December 31, 2021.
(iv) Shared power to dispose or to direct the disposition of: 28,493,696
If this statement is being filed to report the fact that as of the date hereof the reporting person had ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following ☐.
Not applicable.
Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person.
Not applicable.
Item 8. Identification and Classification of Members of the Group.
Not applicable.
Not applicable.
Not applicable.
1 Consists of 23,751,696 Ordinary Shares owned by Magna – B.S.P. Ltd., and options to purchase 4,742,000 Ordinary Shares exercisable within 60 days of December 31, 2021, owned by Haim Siboni.
CUSIP No. 345523104 13G Page 6 of 8 Pages
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
January 14, 2022 (Date)
/s/ Haim Siboni (Signature)
Magna – B.S.P. Ltd.
By: /s/ Haim Siboni Name: Haim Siboni
Title: Chief Executive Officer
Attention. Intentional misstatements or omissions of fact constitute Federal criminal violations (see 18 U.S.C. 1001).
CUSIP No. 345523104 13G Page 7 of 8 Pages
EXHIBIT INDEX
A. Joint Filing Agreement, dated as of January 14, 2022, by and between Haim Siboni and Magna – B.S.P. Ltd.
CUSIP No. 345523104 13G Page 8 of 8 Pages
The undersigned hereby agree that the Schedule 13G/A with respect to the Ordinary Shares of no par value, of Foresight Autonomous Holdings Ltd., dated as of January 14, 2022, is, and any amendments thereto (including amendments on Schedule 13D) signed by each of the undersigned shall be, filed on behalf of each of us pursuant to and in accordance with the provisions of Rule 13d-1(k) under the Securities Exchange Act of 1934, as amended.
January 14, 2022 (Date)
Magna – B.S.P. Ltd.
By: /s/ Haim Siboni
Name: Haim Siboni Title: Chief Executive Officer
/s/ Haim Siboni
(Signature)
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