Registration Form • Feb 16, 2019
Registration Form
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Edgar Agents LLC Foresight Autonomous Holdings Ltd. 02/15/2019 08:36 AM
As filed with the Securities and Exchange Commission on February 15, 2019
Registration No. 333-
(Exact name of registrant as specified in its charter)
State of Israel Not applicable
(State or other jurisdiction of incorporation or organization) (I.R.S. Employer
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)
Zysman, Aharoni, Gayer and 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. Robert V. Condon III, Esq. David Huberman, Esq. Zysman, Aharoni, Gayer and 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. ☐
Identification No.)
| fs82019_foresightauto.htm | Form Type: S-8 | Page 2 |
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| Edgar Agents LLC | Foresight Autonomous Holdings Ltd. | 02/15/2019 08:36 AM |
| Title of Securities to be Registered | Amount to be registered (2) |
Proposed maximum offering price per share |
Proposed maximum aggregate offering price |
Amount of registration fee |
|---|---|---|---|---|
| Ordinary Shares (1) | 1,594,205 | \$ 0.082(3) \$ |
131,390.52 | \$ 15.92 |
| Ordinary Shares (1) | 2,983,334 | \$ 0.536(3) \$ |
1,598,214.64 | \$ 193.7 |
| Ordinary Shares (1) | 2,150,000 | \$ 0.634(3) \$ |
1,363,832.42 | \$ 165.3 |
| Ordinary Shares (1) | 900,000 | \$ 1.684(3) \$ |
1,515,659.34 | \$ 183.7 |
| Ordinary Shares (1) | 970,000 | \$ 0.981(3) \$ |
951,346.15 | \$ 115.3 |
| Ordinary Shares (1) | 3,933,749 | \$ 1.038(3) \$ |
4,085,047.04 | \$ 495.11 |
| Ordinary Shares (1) | 7,000,000(4) \$ | 0.356(5) \$ | 2,490,384.62 | \$ 301.83 |
| Total | 19,531,288 | N/A | \$ 12,135,874.73 | \$ 1,470.87 |
(1) American Depository Shares, or ADSs, evidenced by American Depository Receipts, or ADRs, issuable upon deposit of Ordinary Shares, no par value per share, 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.
(2) 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.
(3) Computed in accordance with Rule 457(h) promulgated under the Securities Act based on the exercise price of the options underlying the Ordinary Shares. When initially set in New Israeli Shekels, or NIS, the amount is translated (solely for the purpose of calculating the registration fee) using the rate of NIS 3.64 to US \$1.00, the representative rate of exchange as of February 11, 2019 as published by the Bank of Israel.
(4) Represents Ordinary Shares reserved for issuance upon the exercise of options that may be granted under the plan to which this Registration Statement relates.
(5) The fee is based on the number of Ordinary Shares which may be issued under the plan to which this Registration Statement relates and is 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 February 11, 2019.
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| Edgar Agents LLC | Foresight Autonomous Holdings Ltd. | 02/15/2019 08:36 AM |
This Registration Statement relates to 19,531,288 Ordinary Shares to be issued in the future upon the exercise of options that have been, or may be, granted under the Foresight Autonomous Holdings Ltd. 2016 Equity Incentive Plan.
The documents containing the information required in Part I of this Registration Statement have been or will be sent or given to participating employees as specified in Rule 428(b)(1) under 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.
| 1 | |
|---|---|
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 of 1934, as amended, or 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.
Not Applicable.
Not Applicable.
The Israeli Companies Law (5759-1999), or the Companies Law, provides that a company may indemnify an office holder against the following liabilities and expenses incurred for acts performed by him or her as an office holder, either pursuant to an undertaking made in advance of an event or following an event, provided its articles of association include a provision authorizing such indemnification:
● a financial liability imposed on him or her in favor of another person by any judgment concerning an act performed in his or her capacity as an office holder, including a settlement or arbitrator's award approved by a court. However, if an undertaking to indemnify an office holder with respect to such liability is provided in advance, then such an undertaking must be limited to events which, in the opinion of the board of directors, can be foreseen based on the company's activities when the undertaking to indemnify is given, and to an amount or according to criteria determined by the board of directors as reasonable under the circumstances, and such undertaking shall detail the abovementioned foreseen events and amount or criteria;
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Under the Companies Law, an Israeli company may not exculpate an office holder from liability for a breach of his or her duty of loyalty, but may exculpate in advance an office holder from his or her liability to the company, in whole or in part, for damages caused to the company as a result of a breach of his or her duty of care (other than in relation to distributions), but only if a provision authorizing such exculpation is included in its articles of association.
The Companies Law provides that the Company may not exculpate or indemnify an office holder nor enter into an insurance contract that would provide coverage for any liability incurred as a result of any of the following: (1) a breach by the office holder of his or her duty of loyalty unless (in the case of indemnity or insurance only, but not exculpation) the office holder acted in good faith and had a reasonable basis to believe that the act would not prejudice us; (2) a breach by the office holder of his or her duty of care if the breach was carried out intentionally or recklessly (as opposed to merely negligently); (3) any act or omission committed with the intent to derive an illegal personal benefit; or (4) any fine, monetary sanction, penalty or forfeit levied against the office holder.
Under the Companies Law, exculpation, indemnification and insurance of office holders in a public company must be approved by the compensation committee and the board of directors and, with respect to certain office holders or under certain circumstances, also by the shareholders.
The registrant's amended and restated articles of association allow it to indemnify its office holders up to a certain amount and also provide that it may exculpate any office holder from liability to it to the fullest extent permitted by law. The registrant has entered into indemnification and exculpation agreements with all of its directors and with certain members of its senior management. Each such agreement provides the office holder with indemnification permitted under applicable law and up to a certain amount, and to the extent that these liabilities are not covered by directors and officers insurance. Notwithstanding the above, subject to the approvals required by applicable law, the registrant intends to amend its articles of association and the customary letter of exculpation, in a manner that a grantee of such letter will not be exculpated with regard to a decision and/or a transaction in which the registrant's controlling shareholder and/or any office holder has personal interest in.
Not Applicable.
| 4.1 | Articles of Association of Foresight Autonomous Holdings Ltd. (unofficial English translation from Hebrew original), filed as part of Exhibit |
|---|---|
| 99.1 to Form 6-K filed on July 2, 2018, and incorporated herein by reference. | |
| 5.1 | Opinion of Lipa Meir & Co. |
| 23.1 | Consent of Brightman Almagor Zohar & Co. Certified Public Accountants Member of Deloitte Touche Tohmatsu Limited. |
| 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 May 11, 2017, and incorporated herein by reference. |
provided, however, that subparagraphs (a)(1)(i) and (a)(1)(ii) do not apply if the information required to be included in a post-effective amendment by those paragraphs is contained in the periodic reports filed with or furnished to the Commission by the Registrant pursuant to Section 13 or Section 15(d) of the Exchange Act that are incorporated by reference in this Registration Statement.

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| Edgar Agents LLC | Foresight Autonomous Holdings Ltd. | 02/15/2019 08:36 AM |
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 February 15, 2019.
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 Director (principal executive officer) |
February 15, 2019 | |
| /s/ Eli Yoresh Eli Yoresh |
Chief Financial Officer (principal financial officer and principal accounting officer) |
February 15, 2019 | |
| /s/ Michael Gally Michael Gally |
Chairman of the Board | February 15, 2019 | |
| /s/ Ehud Aharoni Ehud Aharoni |
Director | February 15, 2019 | |
| /s/ Daniel Avidan Daniel Avidan |
Director | February 15, 2019 | |
| /s/ Shaul Gilad Shaul Gilad |
Director | February 15, 2019 | |
| /s/ Zeev Levenberg Zeev Levenberg |
Director | February 15, 2019 | |
| /s/ Vered Raz-Avayo Vered Raz-Avayo |
Director | February 15, 2019 |
II-4
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| Edgar Agents LLC | Foresight Autonomous Holdings Ltd. | 02/15/2019 08:36 AM |
Pursuant to the Securities Act of 1933, as amended, the undersigned, Zysman, Aharoni, Gayer and 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 February 15, 2019.
/s/ Zysman, Aharoni, Gayer and Sullivan & Worcester LLP Zysman, Aharoni, Gayer and Sullivan & Worcester LLP

| DR MEIR LIPA . |
DANIT RIMON |
GREGORY IRGO |
ISHAY LEVANON |
ישי לבנון | גרגורי אירגו | דנית רימון | ד"ר ליפא מאיר |
|---|---|---|---|---|---|---|---|
| ZURIEL LAVIE .DR |
ILAN YARIV | ISAAC ANIDJAR |
SHAHAF ROTH KLEIN- |
שחף רוט-קליין | יצחק אנידגר | ד"ר יריב אילן | צוריאל לביא |
| ALON POMERANC | (IDIT EISDORFER (I | DOR AVINERY | YAFIT MAMISTVALOV | ממיסטבלוב יפית |
אבינרי דור) I) |
אייזדורפר עידית |
פומרנץ אלון |
| ADMIT COHEN- | |||||||
| (ARTHUR MOHER (I WEINSHTOK | AYELET RAM |
IDO ZABOROF |
עידו זבורוף | ילת רם | הן-וינשטוק אי (אדמית כ |
ארתור מוהר (I | |
| MOR UZI | MEIR ELBAUM |
LIHI ELIMELECH |
DAFNI NIR | ניר דפני | ליהי אלימלך | מאיר אלבוים | עוזי מור |
| GARY COPELOVITZ (TALI LEV (II/III | REUT BEITZ | EDEN BEN LULU | לולו בן עדן |
בייץ רעות |
) II/III) לב טלי |
קופלוביץ גרי |
|
| AZOR GAD | SYLVIA GAL YAHAVNIR- |
MENAHEM TAL |
MORAG | טל מורג | ניר מנחם | סילביה גל-יהב | גד אזור |
| EREZ LULU DAR |
ILUZ ASAF | KEREN BOZER |
KEREN GAD | גד קרן | קרן בוצר | אסף אילוז | ארז דר לולו |
| YARIV SHALOM |
SHAY TAMAR |
LILACH HOEK |
SHIR TAL-DIGMI |
שיר דיגמי-טל | לילך הוק | שי תמר | יריב שלום |
| RONEN BAHARAV |
AIZ ROY | ITAMAR LIPPNER |
TZAH COHEN |
צח כהן | איתמר ליפנר | רועי אייז | רונן בהרב |
| (DR. ZIV M. PREIS (II DR. GUY CARMI | GUY MESHULAM | NOF SADEH | שדה נוף |
משולם גיא |
כרמי גאי ר"ד |
) II) פרייז זיו ר"ד |
|
| MICHAL SCHWARTZ |
NUPHAR TEPLIZ |
YONI SHTAINMETZ |
TOM FISHER |
תם פישר | יוני שטינמץ | נופר טפליץ | מיכל שורץ |
| YOSSI | |||||||
| SHABTAI MICHAELI MANDELBAUM | ELLA DOR-BEN |
DAFNA HOROVITZ |
דפנה הורוביץ | אלה בן-דור | יוסי מנדלבאום | שבתאי מיכאלי | |
| SHIMRIT CARMY | TAL ASULIN | ||||||
| EITAN SHMUELI | NAAMAT | MENAHEMOV | מנחמוב ת טל אסולין- |
שמרית כרמי-נעמ | איתן שמואלי | ||
| SHIRLEY IFRACH | |||||||
| AZOR | OMER MEIRI |
YOTAM WEISS |
יותם וייס | עומר מאירי | שירלי יפרח-אזור | ||
| TZIPI .DR ITSIQ ISER |
SHEVES RONI |
RIMON DAYAN |
רימון דיין | יציק רוני שבס | ד"ר ציפי איסר א | ||
| DR. YEHUDA BEN-MEIR | |||||||
| GALI OPINSKY | KARNIT AKRISH | TOM NISSANI | (IV) | יר (IV( ד"ר יהודה בן מא |
תום ניסני | קרנית אקריש | גלי אופינסקי |
| DR. IRIT MEVORACH | |||||||
| DAVID WEINSTEIN | YAARA FRUEND | (EREZ GOLAN (NAIM(IV) | ך (IV( ד"ר אירית מבור |
ארז גולן (נעים) | יערה פרוינד | דוד וינשטיין |
2 WEIZMANN ST. TEL AVIV 6423902 ISRAEL, BET AMOT HASHKAOT, FAX:+ 972-3-6070666 : פ ס PHONE: +972-3-6070600 ק יצמן 2 ת"א ,6423902 בית אמות השקעות, טלפון ו :
February 15, 2019
Foresight Autonomous Holdings Ltd. 7 Golda Meir Str. 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 19,531,288 of the Company's Ordinary Shares, no par value per share, 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
WWW.LIPAMEIR.CO.IL EMAIL: [email protected] MEMBER: ALLYLAW ועץ י (IV (שיון עו"ד באנגלי ה שיון עו"ד בניו יור ר (III (ק ר (II (וטריו ן נ (I (COUNSEL OF) IV (ENGLAND IN ADMITTED) III (NY IN ADMITTED) II (NOTARY) I(
| fs82019ex23-1_foresight.htm | Form Type: EX-23.1 | Page 1 | |
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| Edgar Agents LLC | Foresight Autonomous Holdings Ltd. | 02/15/2019 08:36 AM |
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 Foresight Autonomous Holdings Ltd. (the "Company") of our report dated March 8, 2018 relating to the financial statements of the Company appearing in this Registration Statement.
/s/ Brightman Almagor Zohar & Co.
Member of Deloitte Touche Tohmatsu Limited
Tel Aviv, Israel
February 15, 2019
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