ACTELIS NETWORKS INC — Director's Dealing 2022

May 17, 2022

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: ACTELIS NETWORKS INC (ASNS)
CIK: 0001141284
Period of Report: 2022-05-12

Reporting Person: Domanovitz Elad (Chief Technology Officer)

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Option	$0.0644	2025-06-30	Common Stock (10978)		Direct
Option	$0.0644	2026-01-21	Common Stock (1098)		Direct
Option	$0.1058	2027-06-08	Common Stock (5435)		Direct
Option	$0.1058	2029-03-06	Common Stock (17391)		Direct
Option	$0.1058	2029-12-30	Common Stock (17391)		Direct

Footnotes

F1: This Option grant vested in full on 06/29/2019.

F2: This Option grant vested in full on 01/20/2020.

F3: This Option grant vested in full on 06/07/2021.

F4: This Option grant vested in full on 03/06/2019.

F5: This Option grant vested in full on 12/30/2019.