Foresight Autonomous Holdings Ltd. — M&A Activity 2023

Sep 14, 2023

CB 1 formcb.htm

Field: Rule-Page

Field: /Rule-Page

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

Form CB

(Amendment No.__)

TENDER OFFER/RIGHTS OFFERING NOTIFICATION FORM

Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to file this Form:

| Securities Act Rule 801 (Rights
Offering) | ☐ |
| --- | --- |
| Securities Act Rule 802 (Exchange Offer) | ☐ |
| Exchange Act Rule 13e-4(h)(8) (Issuer Tender Offer) | ☒ |
| Exchange Act Rule 14d-1(c) (Third Party Tender Offer) | ☐ |
| Exchange Act Rule 14e-2(d) (Subject Company Response) | ☐ |

FORESIGHT AUTONOMOUS HOLDINGS LTD.

(Name of Subject Company)

N/A

(Translation of Subject Company’s Name into English (if applicable))

Israel

(Jurisdiction of Subject Company’s Incorporation or Organization)

FORESIGHT AUTONOMOUS HOLDINGS LTD.

(Name of Person(s) Furnishing Form)

Ordinary Shares, no par value

(Title of Class of Subject Securities)

345523104

(CUSIP Number of Class of Securities (if applicable))

Eli Yoresh

Chief Financial Officer

7 Golda Meir

Ness Ziona 7403650, Israel

(Name, Address (including zip code) and Telephone Number (including area code) of

Person(s) Authorized to Receive Notices and Communications on Behalf of Subject Company)

September 14, 2023

(Date Tender Offer/Rights Offering Commenced)

Field: Rule-Page

Field: /Rule-Page

Field: Page; Sequence: 1

Field: /Page

PART I - INFORMATION SENT TO SECURITY HOLDERS

Item 1. Home Jurisdiction Documents.

The following documents are attached as exhibits to this Form CB:

| Exhibit Number | Name
of Exhibit |
| --- | --- |
| 99.1 | Repricing Notice to Israeli employees and directors. |

Item 2. Informational Legends.

Not applicable.

PART II - INFORMATION NOT REQUIRED TO BE SENT TO SECURITY HOLDERS

Not applicable.

PART III - CONSENT TO SERVICE OF PROCESS

On the date hereof, Foresight Autonomous Holdings Ltd. is submitting to the Securities and Exchange Commission an appointment of agent for service of process and undertaking on Form F-X, dated September 14, 2023.

Field: Page; Sequence: 2; Options: NewSection; Value: 1

1

Field: /Page

PART IV - SIGNATURES

After due inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

Foresight Autonomous Holdings Ltd. — By:	/s/ Eli Yoresh
Name:	Eli Yoresh
Title:	Chief Financial Officer

Field: Page; Sequence: 3; Options: Last

2

Field: /Page