Registration Form • Dec 28, 2020
Registration Form
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FORM F-3
REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
Foresight Autonomous Holdings Ltd.
(Exact name of Registrant as specified in its charter)
(State or other jurisdiction of (I.R.S. Employer incorporation or organization) Identification No.)
Israel Not Applicable
7 Golda Meir Ness Ziona 7414001 Israel +972-077-9709030
(Address and Telephone Number of Registrant's Principal Executive Offices)
Sullivan & Worcester LLP 1633 Broadway
New York, NY 10019 Tel: 212.660.5000
(Name, Address, and Telephone Number of Agent for Service)
Copies to:
Oded Har-Even, Esq. David Huberman, Esq. Sullivan & Worcester LLP 1633 Broadway New York, NY 10019 (212) 660-5000
Eitan Shmueli, Adv. Gregory Irgo, Adv. Lipa Meir & Co 2 Weitzman St. Tel Aviv 6423902, Israel (972) 3-607-0690
Approximate date of commencement of proposed sale to the public: As soon as practicable after the effective date of this registration statement.
If the only securities being registered on this Form are being offered pursuant to dividend or interest reinvestment plans, please check the following box. ☐
If any of the securities being registered on this Form are to be offered on a delayed or continuous basis pursuant to Rule 415 under the Securities Act of 1933, check the following box. ☐
If this Form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, please check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. ☒ 333-229715
If this Form is a post-effective amendment filed pursuant to Rule 462(c) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. ☐
If this Form is a registration statement pursuant to General Instruction I.C. or a post-effective amendment thereto that shall become effective upon filing with the Commission pursuant to Rule 462(e) under the Securities Act, check the following box. ☐
If this Form is a post-effective amendment to a registration statement filed pursuant to General Instruction I.C. filed to register additional securities or additional classes of securities pursuant to Rule 413(b) under the Securities Act, check the following box. ☐
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933.
Emerging growth company ☒
If an emerging growth company that prepares its financial statements in accordance with U.S. GAAP, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards† provided pursuant to Section 7(a)(2)(B) of the Securities Act. ☐
† The term "new or revised financial accounting standard" refers to any update issued by the Financial Accounting Standards Board to its Accounting Standards Codification after April 5, 2012.
| Proposed | ||||
|---|---|---|---|---|
| Proposed | Maximum | |||
| Maximum | Aggregate | Amount of | ||
| Amount To Be | Offering Price | Offering | Registration | |
| Title of each class of securities to be registered | Registered (2) | Per Unit (2) | Price (3) | Fee |
| Ordinary Shares, no par value (1) | (4) | (4) \$ 4,340,000 \$ | 473.06 |
This Registration Statement shall become effective upon filing with the Securities and Exchange Commission in accordance with Rule 462(b) under the Securities Act of 1933, as amended.
This Registration Statement is being filed pursuant to Rule 462(b) under the Securities Act of 1933, as amended (the "Securities Act") and General Instruction IV of Form F-3. The contents of the Registration Statement on Form F-3 (File No. 333-229715), filed by Foresight Autonomous Holdings Ltd. with the Securities and Exchange Commission (the "Commission") pursuant to the Securities Act, which was declared effective by the Commission on March 8, 2019, are incorporated by reference into this Registration Statement. The required opinion and consents are listed on an Exhibit Index attached hereto and filed herewith.
| Exhibit Number |
Description |
|---|---|
| 5.1* | Opinion of Lipa Meir & Co. |
| 23.1* | Consent of Brightman Almagor Zohar & Co., A Firm in the Deloitte Global Network, independent registered public accounting firm. |
| 23.2* | Consent of Lipa Meir & Co (included in Exhibit 5.1). |
| 24.1 * | Power of Attorney (included in the signature page of this Registration Statement). |
| * | Filed herewith. |
2
Pursuant to the requirements of the Securities Act, the registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form F-3 and has duly caused this registration statement to be signed on its behalf by the undersigned, thereunder duly authorized, in the city of Ness Ziona, State of Israel, on December 28, 2020.
By: /s/ Haim Siboni
Haim Siboni Chief Executive Officer
We, the undersigned directors and/or officers of Foresight Autonomous Holdings Ltd., hereby severally constitute and appoint Haim Siboni and Eliyahu Yoresh, and each of them singly, our true and lawful attorneys, with full power to any of them, and to each of them singly, to sign for us and in our names in the capacities indicated below the registration statement on Form F-3 filed herewith, and any and all pre-effective and post-effective amendments to said registration statement, and any registration statement filed pursuant to Rule 462(b) under the Securities Act, as amended, in connection with the said registration under the Securities Act, as amended, and to file or cause to be filed the same, with all exhibits thereto and other documents in connection therewith, with the SEC, granting unto said attorneys, and each of them, full power and authority to do and perform each and every act and thing requisite and necessary to be done in connection therewith, as fully to all intents and purposes as each of them might or could do in person, and hereby ratifying and confirming all that said attorneys, and each of them, shall do or cause to be done by virtue of this Power of Attorney.
Pursuant to the requirements of the Securities Act, this Registration Statement has been signed below by the following persons in the capacities and on the dates indicated:
| Signature | Title | Date |
|---|---|---|
| /s/ Haim Siboni Haim Siboni |
Chief Executive Officer and Director (principal executive officer) |
December 28, 2020 |
| /s/ Eliyahu Yoresh Eliyahu Yoresh |
Chief Financial Officer (principal financial officer) |
December 28, 2020 |
| /s/ Michael Gally Michael Gally |
Chairman of the Board of Directors | December 28, 2020 |
| /s/ Ehud Aharoni Ehud Aharoni |
Director | December 28, 2020 |
| /s/ Daniel Avidan Daniel Avidan |
Director | December 28, 2020 |
| /s/ Zeev Levenberg Zeev Levenberg |
Director | December 28, 2020 |
| /s/ Vered Raz-Avayo Vered Raz-Avayo |
Director | December 28, 2020 |
4
Pursuant to the requirements of the Securities Act, as amended, the undersigned, Sullivan & Worcester LLP, the duly authorized representative in the United States of Foresight Autonomous Holdings Ltd. has signed this registration statement on December 28, 2020.
/s/ Sullivan & Worcester LLP

| DR. LIPA MEIR | TALI LEV(II/III) | LILACH HOEK | NOAM BR OR | אור בר נעם |
הוק לילך |
) II/III) לב טלי | מאיר ליפא ר"ד |
|---|---|---|---|---|---|---|---|
| LAVIE ZURIEL | SYLVIA YAHAV-GAL |
ITAMAR LIPPNER |
BITTON AMIT | עמית ביטון | איתמר ליפנר | סילביה גל-יהב | צוריאל לביא |
| ALON POMERANC |
ILUZ ASAF | GUY MESHULAM |
ZILKA MAOR | מאור זילכה | גיא משולם | אסף אילוז | אלון פומרנץ |
| ARTHUR MOHER(I) | SHAY TAMAR | YONI SHTAINMETZ | TAL PERI | פרי טל | שטינמץ יוני |
תמר שי | ) I) מוהר ארתור |
| MOR UZI | AIZ ROY | ELLA DOR-BEN |
AVIHAY ASULIN |
אביחי אסולין | אלה בן-דור | רועי אייז | עוזי מור |
| GARY COPELOVITZ DR |
CARMI GUY . | -ASULIN TAL MENAHEMOV |
AMAR AVIV | אביב אמר | טל אסולין-מנחמוב | ד"ר גאי כרמי | גרי קופלוביץ |
| AZOR GAD | VERED ZLAIKHA |
YOTAM WEISS |
SHAULI REUT | רעות שאולי | יותם וייס | ורד זליכה | גד אזור |
| EREZ DAR LULU | YAEL FLATAU-BILU (I) | RIMON DAYAN | TOM LAHAV | להב תום | דיין רימון) I) |
בילו- פלטאו יעל |
לולו דר ארז |
| YARIV SHALOM |
NUPHAR TEPLIZ |
NISSANI TOM | KIMHI ADI | עדי קמחי | תום ניסני | נופר טפליץ | יריב שלום |
| RONEN BAHARAV |
YOSSI MANDELBAUM |
EREZ NAIM (GOLAN CHEN) |
DAVID BEN | חן בן דוד | ארז גולן (נעים) | יוסי מנדלבאום | רונן בהרב |
| DR. ZIV M. PREIS (II) | SHIMRIT CARMY NAAMAT | ISHAY LEVANON | OLGA SPIVAK | ספיבק אולגה |
לבנון ישי |
נעמת- כרמי שמרית |
) II) פרייז זיו ר"ד |
| MICHAL SCHWARTZ |
MEIRI OMER | ASSAF NACHMIAS |
NADAV SVETLOFF |
נדב סווטלוף | אסף נחמיאס | עומר מאירי | מיכל שורץ |
| SHABTAI MICHAELI |
KARNIT AKRISH |
SHAHAF KLEIN-ROTH |
JUSTIN BENHAMOU |
ג'סטין בן חמו | שחף רוט-קליין | קרנית אקריש | שבתאי מיכאלי |
| EITAN SHMUELI |
YAARA FRUEND AVRAHAM- |
ZABOROF IDO | NAVE EVE | איב נווה | עידו זבורוף | יערה פרוינד-אברהם | איתן שמואלי |
| ZOLTY AMIR | GREGORY IRGO |
ZOMER AMIT FADIDA- |
DANIEL KADOSH |
דניאל קדוש | עמית זומר-פדידה | גרגורי אירגו | אמיר זולטי |
| TIK EREZ | ISAAC ANIDJAR |
DAFNI NIR | ניר דפני | יצחק אנידגר | ארז תיק | ||
| SHIRLEY AZOR-IFRACH DOR |
AVINERY | SHAKED NISSAN COHEN- |
שקד ניסן-כהן | דור אבינרי | שירלי יפרח-אזור | ||
| TZIPI .DR ITSIQ ISER |
RAM AYELET | SIGAL VANTSOVSKY |
סיגל ונצובסקי | ק איילת רם | ד"ר ציפי איסר איצי | ||
| GALI OPINSKY |
LIHI ELIMELECH |
MORAG TAL | טל מורג | ליהי אלימלך | גלי אופינסקי | ||
| DAVID WEINSTEIN |
BEITZ REUT | YARDEN HADAR |
ירדן הדר | רעות בייץ | דוד וינשטיין | ||
| DR ILAN YARIV . |
YAN FELDMAN |
SHIR TAL-DIGMI |
EYAL KHAYAT |
איל חיאט | שיר דיגמי-טל | יאן פלדמן | ד"ר יריב אילן |
| ADMIT COHEN-WEINSHTOK NIR MENAHEM | TZAH COHEN | DR. YEHUDA BEN-MEIR (IV) IV)) | מאיר בן יהודה ר"ד |
כהן צח | מנחם ניר | וינשטוק-כהן אדמית |
|
| MEIR ELBAUM | KEREN BOZER | NOF SADEH | DR. IRIT MEVORACH (IV) | IV)) מבורך אירית ר"ד |
שדה נוף | בוצר קרן | אלבוים מאיר |
2 WEIZMANN ST. TEL AVIV 6423902 ISRAEL, BET AMOT HASHKAOT, FAX:+ 972-3-6070666 :פקס PHONE: +972-3-6070600 :טלפון ,השקעות אמות בית ,6423902 א"ת 2 ויצמן
December 28, 2020
To: Foresight Autonomous Holdings Ltd. 7 Golda Meir St. Ness Ziona 7403650 Israel
Ladies and Gentlemen,
This opinion is furnished to you in connection with a Registration Statement on a Form F-3 (the " Registration Statement") being filed by Foresight Autonomous Holdings Ltd., a company organized under the laws of the State of Israel (the "Company"), with the Securities and Exchange Commission pursuant to Rule 462(b) under the Securities Act of 1933, as amended (the "Securities Act"), relating to the sale, from time to time, by the Company of up to an additional aggregate amount of \$4,340,000 of American Depositary Shares ("ADSs"), each representing five ordinary shares, no par value per share, of the Company (the "Ordinary Shares," and together with the ADSs, the "Securities"), which registration statement incorporates by reference the contents of the registration statement on Form F-3 (File No. 333-229715) (together, the "Registration Statements"), all of which may be issued from time to time on a delayed or continuous basis pursuant to Rule 415 under the Securities Act.
In connection with this opinion, we have examined the originals, or photocopies or copies, certified or otherwise identified to our satisfaction, of (i) the Registration Statement, (ii) a copy of the articles of association of the Company as currently in effect (the "Articles"); (iii) resolutions of the board of directors (the "Board") of the Company which have heretofore been approved and which relate to the Registration Statement; and (iv) such other corporate records, agreements, documents and other instruments, as we have deemed relevant and necessary as a basis for the opinions hereafter set forth.
In such examination, we have assumed: (i) the authenticity of original documents and the genuineness of all signatures; (ii) the conformity to the originals of all documents submitted to us as copies; (iii) the truth, accuracy and completeness of the information, representations and warranties contained in the corporate records, documents, certificates and instruments we have reviewed; (iv) the due execution and delivery of all documents where due execution and delivery are a prerequisite to the effectiveness thereof; and (v) the legal capacity of all natural persons.
W W W . L I P A M E I R . C O . I L E M A I L : L A W @ L I P A M E I R . C O . I L (I) NOTARY (II) ADMITTED IN NY (III) ADMITTED IN ENGLAND (IV) OF COUNSEL
(I (נוטריון (II (רשיון עו"ד בניו יורק (III (רשיון עו"ד באנגליה (IV (יועץ

Based upon and subject to the foregoing, we are of the opinion that when (i) specifically authorized for issuance by the Board (the "Authorizing Resolutions"); (ii) the Registration Statement has become effective under the Securities Act; (iii) if necessary, an appropriate prospectus supplement with respect to the Securities has been prepared, filed and delivered in compliance with the Securities Act and the applicable rules promulgated thereunder; (iv) the terms of the sale of the Securities have been duly established in conformity with the Articles and do not violate any applicable law or result in a default under or breach of any agreement or instrument binding on the Company and comply with any requirement or restriction imposed by any court or governmental body having jurisdiction over the Company; (v) the Securities have been issued and sold as contemplated by the Registration Statement and any prospectus supplement, if applicable; and (vi) the Company has received the consideration provided for in the Authorizing Resolutions, the Ordinary Shares will be validly issued, fully paid and nonassessable.
We are members of the Israel Bar and we express no opinion as to any matter relating to the laws of any jurisdiction other than the laws of the State of Israel and have not, for the purpose of giving this opinion, made any investigation of the laws of any other jurisdiction than the State of Israel. This opinion is limited to the matters stated herein and no opinion is implied or may be inferred beyond the matters expressly stated.
We hereby consent to the filing of this opinion as an exhibit to the Registration Statement and the references to this firm in the section of the Registration Statement entitled "Legal Matters". In giving this consent we do not admit that we are within the category of persons whose consent is required by Section 7 of the Securities Act.
Very truly yours,
/s/ Lipa Meir & Co
W W W . L I P A M E I R . C O . I L E M A I L : L A W @ L I P A M E I R . C O . I L

We consent to the incorporation by reference in this Registration Statement on Form F-3 of Foresight Autonomous Holdings Ltd. (the "Company") relating to the financial statements of the Company appearing in the Annual Report on Form 20-F of the Company for the year ended December 31, 2019.
/s/ Brightman Almagor Zohar & Co. A Firm in the Deloitte Global Network
Tel Aviv, Israel
December 28, 2020
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