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Pluri Inc.

Major Shareholding Notification Apr 6, 2017

6990_rns_2017-04-06_f727d5b9-5d1c-4154-8f9f-fd256d99c5d4.pdf

Major Shareholding Notification

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FORM 3 UNITED STATES SECURITIES AND EXCHANGE

COMMISSION

Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

OMB APPROVAL

OMB Number: 3235-0104 Estimated average burden hours per response 0.5

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940

1. Name and Address of Reporting Person* 2. Date of Event
Requiring Statement
(Month/Day/Year)
03/29/2017
3. Issuer Name and Ticker or Trading Symbol
PLURISTEM THERAPEUTICS INC [ PSTI ]
(Last)
(First)
BUILDING NO. 5
(Street)
HAIFA
L3
(City)
(State)
Egozi Erez 0001702742
(Middle)
MATAM ADVANCED
TECHNOLOGY PARK
31905
(Zip)
X (s) to Issuer
(Check all applicable)
Director
Officer
(give title
below)
Chief Financial Officer
4. Relationship of Reporting Person
10%
Owner
Other
(specify
below)
5. If Amendment, Date of Original
Filed
(Month/Day/Year)
6. Individual or Joint/Group Filing
(Check Applicable Line)
Form filed by One Reporting
X
Person
Form filed by More than One
Reporting Person
Table I – Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities
Beneficially Owned (Instr.
4)
3. Ownership
Form: Direct
(D) or Indirect
(I) (Instr. 5)
4. Nature of Indirect Beneficial
Ownership (Instr. 5)
Common Stock(1) 128,000(1) D
Table II – Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable
and Expiration Date
(Month/Day/Year)
3. Title and Amount of Securities
Underlying Derivative Security
(Instr. 4)
4.
Conversion
or Exercise
5.
Ownership
Form:
6. Nature of
Indirect
Beneficial
Date
Exercisable
Expiration
Date
Title Amount
or
Number
of
Shares
Price of
Derivative
Security
Direct (D)
or Indirect
(I) (Instr.
5)
Ownership
(Instr. 5)

Explanation of Responses:

  1. Includes 78,500 shares issuable upon vesting of Restricted Stock Units on various dates ranging from June 30, 2017 to December 31, 2018 or upon satisfaction of certain performance criteria.

Remarks:

/s/ Erez Egozi 04/06/2017

** Signature of Reporting Person Date

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 5(b)(v).

** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

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