ACTELIS NETWORKS INC

Regulatory Filings • May 4, 2022

8-A12B 1 ea159353-8a12b_actelis.htm REGISTRATION OF CERTAIN CLASSES OF SECURITIES

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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

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FORM 8-A

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FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES PURSUANT TO SECTION 12(b) OR (g) OF THE SECURITIES EXCHANGE ACT OF 1934

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Actelis Networks, Inc.

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(Exact name of registrant as specified in its charter)

Delaware (State or incorporation of organization)	52-2160309 (IRS Employer Identification No.)
47800 Westinghouse Drive Fremont, CA (510) 545-1045 (Address of Principal Executive Offices)	94539 (Zip Code)

Securities to be registered pursuant to Section 12(b) of the Act:

Title of each class to be so registered	Name of each exchange on which each class is to be registered
Common Stock, par value $0.0001	The Nasdaq Stock Market LLC

If this form relates to the registration of a class of securities pursuant to Section 12(b) of the Exchange Act and is effective pursuant to General Instruction A.(c) or (e), check the following box. ☒

If this form relates to the registration of a class of securities pursuant to Section 12(g) of the Exchange Act and is effective pursuant to General Instruction A.(d) or (e), check the following box. ☐

If this form relates to the registration of a class of securities concurrently with a Regulation A offering, check the following box. ☐

Securities Act registration statement file number to which this form relates: 333-264321 .

Securities to be registered pursuant to Section 12(g) of the Act: None .

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INFORMATION REQUIRED IN REGISTRATION STATEMENT

Item 1. Description of Registrant’s Securities to be Registered.

Actelis Networks, Inc. (the “Company”) hereby incorporates by reference herein the description of its common stock, par value $0.0001, to be registered hereunder, set forth under the heading “Description of Securities” in the Company’s Registration Statement on Form S-1 (File No. 333-264321), originally filed with the Securities and Exchange Commission (the “Commission”) under the Securities Act of 1933, as amended (the “Securities Act”) on April 15, 2022, as subsequently amended (the “Registration Statement”), and any prospectus that constitutes part of the Registration Statement and that is subsequently filed by the Company with the Commission pursuant to Rule 424(b) under the Securities Act, which information shall be deemed to be incorporated herein by reference.

Item 2. Exhibits.

Pursuant to the Instructions as to Exhibits for Form 8-A, no exhibits are required to be filed because no other securities of the Company are registered on The Nasdaq Stock Market LLC, and the securities registered hereby are not being registered pursuant to Section 12(g) of the Securities Exchange Act of 1934, as amended.

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SIGNATURES

Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereto duly authorized.

Date: May 4, 2022
By:	/s/ Tuvia Barlev
Name:	Tuvia Barlev
Title:	Chief Executive Officer

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