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Foresight Autonomous Holdings Ltd.

AGM Information Jul 8, 2018

6793_rns_2018-07-08_c3eb9764-9d81-4399-aafb-96b72bbe6a48.pdf

AGM Information

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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549

Form 6-K

Report of Foreign Private Issuer Pursuant to Rule 13a-16 or 15d-16 under the Securities Exchange Act of 1934

For the month of: July 2018 (Report No. 2)

Commission file number: 001-38094

FORESIGHT AUTONOMOUS HOLDINGS LTD.

(Translation of registrant's name into English)

3 Golda Meir Ness Ziona 7414001 Israel (Address of principal executive offices)

Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.

Form 20-F ☒ Form 40-F ☐

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulations S-T Rule 101(b)(1):_____

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulations S-T Rule 101(b)(7):_____

CONTENTS

On July 2, 2018, the Registrant previously announced that it will convene an Extraordinary General Meeting of Shareholders (the "Meeting") on Monday, August 6, 2018, at 3:00 p.m. Israel time.

Attached hereto and incorporated by reference herein is the voting instruction form which will be sent to holders of American Depositary Shares by The Bank of New York Mellon for the Meeting.

Only shareholders of record who held Ordinary Shares of the Registrant, or American Depositary Shares representing Ordinary Shares of the Registrant, at the close of business on July 4, 2018, will be entitled to vote at the Meeting and any postponement or adjournment thereof.

Exhibit No. Description
99.1 Voting instruction form which will be sent to holders of American Depositary Shares by The Bank of New York Mellon for the Extraordinary
General Meeting of Shareholders to be Held on August 6, 2018.

1

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

Foresight Autonomous Holdings Ltd. (Registrant)

By /s/ Eli Yoresh

Name: Eli Yoresh Title: Chief Financial Officer

Date: July 6, 2018

Extraordinary General
Shareholders Meeting of
Extraordianry General Shareholders Meeting
Foresight Autonomous Holdings Ltd.
Foresight Autonomous Holdings Ltd. to be held August 6, 2018
Date: August 6, 2018 For Holders as of July 4, 2018
See Voting Instruction On Reverse Side.
Please make your marks like this: 12 Use pen anly
For Against Abstain 1
1. To increase the Company's registered capital from 200,000,000 to
bout brema of bots , walke the parents yenting 000,000,000,1
ithe the Company's anicles of association to reflect to reflect to relies in
in Schedule A to the Proxy Statests to
12 12 22 MAIL
· Mark, sign and date your Voting Instruction Form.
· Detach your Voting Instruction Form.
· Return your Voting Instruction Form in the
postage-paid envelope provided.
All votes must be received by 12:00 pm, New York Time July 31, 2018.
Please separate carefully at the perforation and return just this portion in the envelope provided.
PROXY TABULATOR FOR
FORESIGHT AUTONOMOUS HOLDINGS LTD.
P.O. BOX 8016
CARY, NC 27512-9903
6
EVENT #
CLIENT #
Authorized Signatures - This section must be
completed for your instructions to be executed.
Please Sign Here Please Date Above
Philiso Sign Hors Plaasa Dato Above Copyright © 2018 Madiant Communications Inc. All Rights Passeried

Foresight Autonomous Holdings Ltd.

Instructions to The Bank of New York Mellon, as Depositary (Must be received prior to 12 p.m. NYC Time on July 31, 2018)

The undersigned Holder of American Depositary Receipts ("ADRs" ) hereby acknowledges receipt of a Notice to Holders from the Depositary and institutes to rests and instructs The Bank of
New York Mellon, as Depositary, to endeaver, in so far as practicable, t the number of ordinary shares or other deposited securities represented by such ADRs of Foresight books of the Depositiaty as of the olose of business July 4, 2018, at the Corneany's Extraordinary
General Shareholders Meeting to be held on August 6, 2018, at 3:00 p.m. (Is offices of the company's legal advisers, Eitan Mehulal & Sadot, Law Offices, at 10 Abba Eban Boulevard, Ackerstein Towers, Building C (floor 7), Herzliya, Israel.

NOTE-

-

Please direct the Depositary how to vote by completing the revers instruction Card, when propenty
executed and returned, will be a request to the Depositivy to vote or cause

becames that not volve or attempt to exercise the right to vote that attaches to the shares or other Deposited
Securities, other than in accordance with such instructions.

The Board of Directors recommends that you vote in favor of the proposals, which are described in the proxy statement. To review materials for the upcoming EGM, please visit: http://r.foresightauto.com/sed filings/

(Continued and to be marked, dated and signed, on the other side)

Faresight Autonomous Haldings Ltd.
P.O. Box 8016
GARY, NC 27512-9003 PROXY TABULATOR FOR

91382 Foreight Autocomous Holdings VIF.indd. 2

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