Registration Form • Jun 28, 2020
Registration Form
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FORM S-8
THE SECURITIES ACT OF 1933
(Exact name of registrant as specified in its charter)
(State or other jurisdiction of incorporation or organization)
State of Israel Not applicable
(I.R.S. Employer Identification No.)
7 Golda Meir, Ness Ziona, 7414001 Israel (Address of Principal Executive Offices)
Foresight Autonomous Holdings Ltd. 2016 Equity Incentive Plan
(Full title of the plan)
Sullivan & Worcester LLP 1633 Broadway, New York, NY 10019 212-660-5000
(Name, address and telephone number of agent for service)
Oded Har-Even, Esq. David Huberman, Esq. Sullivan & Worcester LLP 1633 Broadway New York, NY 10019 (212)-660-3000
Eitan Shmueli, Adv. Gregory Irgo, Adv. Lipa Meir & Co 2 Weitzman St Tel Aviv 6423902, Israel (972) 3-607-0690
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See definitions of "large accelerated filer," "accelerated filer," "smaller reporting company" and "emerging growth company" in Rule 12b-2 of the Exchange Act.
Large accelerated filer ☐ Accelerated filer ☐
Non-accelerated filer ☒ Smaller reporting company ☐ Emerging growth company ☒
If an emerging growth company, 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. ☐
| Proposed maximum offering |
Proposed maximum |
Amount of | |||
|---|---|---|---|---|---|
| Title of Securities to be Registered | Amount to be registered (2) |
price per share |
aggregate offering price |
registration fee |
|
| Ordinary Shares (1) | 22,391,785(3) \$ | 0.26(4) \$ 5,821,864.10 | \$ 755.68 |
||
| Total | 22,391,785 | N/A | \$ 5,821,864.10 | \$ 755.68 |
(1) American Depository Shares, or ADSs, evidenced by American Depository Receipts, or ADRs, issuable upon deposit of Ordinary Shares, no par value per share, of Foresight Autonomous Holdings Ltd., or the Registrant, are registered on a separate Registration Statement on Form F-6 (File No. 333- 217881). Each ADS represents five (5) Ordinary Shares.
(2) Pursuant to Rule 416(a) under the Securities Act of 1933, as amended, or the Securities Act, this Registration Statement also covers an indeterminate number of additional securities which may be offered and issued to prevent dilution resulting from stock splits, stock dividends, recapitalizations or similar transactions.
(3) Represents Ordinary Shares reserved for issuance upon the exercise of options that may be granted under the plan to which this Registration Statement relates.
(4) The fee is based on the number of Ordinary Shares which may be issued under the plan to which this Registration Statement relates and is estimated in accordance with paragraphs (c) and (h) of Rule 457 under the Securities Act solely for the purpose of calculating the registration fee based upon the average of the high and low sales price of an ADS as reported on the Nasdaq Capital Market on June 19, 2020.
The purpose of this Registration Statement on Form S-8, or the Registration Statement, is to register 22,391,785 additional Ordinary Shares of Foresight Autonomous Holdings Ltd., or the Registrant or the Company, to be reserved for issuance under the Foresight Autonomous Holdings Ltd. 2016 Equity Incentive Plan, or the Plan, which are in addition to the 19,531,288 Ordinary Shares under the Plan registered on the Company's Registration Statement on Form S-8 filed by the Registrant with the Securities and Exchange Commission, or the Commission, on February 15, 2019 (Commission File No. 333-229716), or the Prior Registration Statement.
This Registration Statement relates to securities of the same class as those to which the Prior Registration Statement relates, and is submitted in accordance with General Instruction E to Form S-8 regarding Registration of Additional Securities. Pursuant to Instruction E of Form S-8, the contents of the Prior Registration Statement are incorporated herein by reference and made part of this Registration Statement, except as amended hereby.
The increase in the number of Ordinary Shares authorized for issuance under the Plan was approved by the board of directors of the Company on May 27, 2020.
The documents containing the information required in Part I of this Registration Statement have been or will be sent or given to participating employees as specified in Rule 428(b)(1) under the Securities Act, in accordance with the rules and regulations of the Commission. Such documents are not being filed with the Commission either as part of this Registration Statement or as prospectuses or prospectus supplements pursuant to Rule 424 of the Securities Act. These documents and the documents incorporated by reference into this Registration Statement pursuant to Item 3 of Part II of this Registration Statement, taken together, constitute a prospectus that meets the requirements of Section 10(a) of the Securities Act.
The following additional documents, which have been filed by the Registrant with the Commission are incorporated by reference in and made a part of this Registration Statement, as of their respective dates:
In addition to the foregoing, all documents subsequently filed by the registrant pursuant to Sections 13(a), 13(c), 14 and 15(d) of the Exchange Act, and all reports on Form 6-K subsequently filed by the registrant which state that they are incorporated by reference herein, prior to the filing of a posteffective amendment which indicates that all securities offered hereunder have been sold or which deregisters all securities then remaining unsold, shall be deemed to be incorporated by reference herein and to be part hereof from the date of filing of such documents and reports.
Any statement contained in a document incorporated or deemed to be incorporated by reference herein shall be deemed to be modified or superseded for purposes of this Registration Statement to the extent that a statement herein, or in any subsequently filed document which also is or is deemed to be incorporated by reference, modifies or supersedes such statement. Any statement so modified or superseded shall not be deemed, except as so modified or superseded, to constitute a part of this Registration Statement.
II-1
Pursuant to the requirements of the Securities Act of 1933, as amended, the registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-8 and has duly caused this Registration Statement on Form S-8 to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Ness Ziona, State of Israel, on June 26, 2020.
| By: | /s/ Haim Siboni | ||
|---|---|---|---|
| ----- | -- | -- | ----------------- |
Name: Haim Siboni Title: Chief Executive Officer
We, the undersigned officers and directors of Foresight Autonomous Holdings Ltd., hereby severally constitute and appoint Haim Siboni and Eli Yoresh, and each of them individually, our true and lawful attorney to sign for us and in our names in the capacities indicated below any and all amendments or supplements, including any post-effective amendments, to this Registration Statement on Form S-8 and to file the same, with exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, granting unto said attorney full power and authority to do and perform each and every act and thing requisite or necessary to be done in and about the premises, as fully to all intents and purposes as he or she might or could do in person, hereby ratifying and confirming our signatures to said amendments to this Registration Statement signed by our said attorney and all else that said attorney may lawfully do and cause to be done by virtue hereof.
Pursuant to the requirements of the Securities Act, this Registration Statement on Form S-8 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) |
June 26, 2020 | |
| /s/ Eli Yoresh Eli Yoresh |
Chief Financial Officer (principal financial officer and principal accounting officer) |
June 26, 2020 | |
| /s/ Michael Gally Michael Gally |
Chairman of the Board | June 26, 2020 | |
| /s/ Ehud Aharoni Ehud Aharoni |
Director | June 26, 2020 | |
| /s/ Daniel Avidan Daniel Avidan |
Director | June 26, 2020 | |
| /s/ Shaul Gilad Shaul Gilad |
Director | June 26, 2020 | |
| /s/ Zeev Levenberg Zeev Levenberg |
Director | June 26, 2020 | |
| /s/ Vered Raz-Avayo Vered Raz-Avayo |
Director | June 26, 2020 | |
II-3
Pursuant to the Securities Act of 1933, 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 Form S-8 on June 26, 2020.
/s/ Sullivan & Worcester LLP Sullivan & Worcester LLP

| DR MEIR LIPA . |
ADMIT -COHEN WEINSHTOKNIR |
MENAHEM | TZAH COHEN |
צח כהן | וק ניר מנחם | אדמית כהן-וינשט | ד"ר ליפא מאיר |
|---|---|---|---|---|---|---|---|
| ZURIEL LAVIE |
MEIR ELBAUM |
KEREN BOZER |
SADEH NOF | נוף שדה | קרן בוצר | מאיר אלבוים | צוריאל לביא |
| ALON POMERANC | TALI LEV(II/III) | LILACH HOEK | TOM FISHER | פישר תם | הוק לילך |
) II/III) לב טלי |
פומרנץ אלון |
| ARTHUR MOHER(I) | SYLVIA GAL-YAHAV | ITAMAR LIPPNER | AMIT BITTON | ביטון עמית |
ליפנר איתמר |
יהב-גל סילביה |
) I) מוהר ארתור |
| MOR UZI | ILUZ ASAF | GUY MESHULAM |
MAOR ZILKA |
מאור זילכה | גיא משולם | אסף אילוז | עוזי מור |
| GARY COPELOVITZ |
SHAY TAMAR |
YONI SHTAINMETZ |
NOAM SCHWARTZ |
נועם שוורץ | יוני שטינמץ | שי תמר | גרי קופלוביץ |
| AZOR GAD | AIZ ROY | ELLA DOR-BEN |
LIRAZ BEN | בן לירז | אלה בן-דור | רועי אייז | גד אזור |
| EREZ LULU DAR .DR |
CARMI GUY | TAL -ASULIN MENAHEMOVAVIHAY |
ASULIN | באביחי אסולין | טל אסולין-מנחמו | ד"ר גאי כרמי | ארז דר לולו |
| YARIV SHALOM | YAEL FLATAU-BILU (I) | YOTAM WEISS | AVIV AMAR | אמר אביב |
וייס יותם) I) |
בילו- פלטאו יעל |
שלום יריב |
| RONEN BAHARAV |
NUPHAR TEPLIZ |
RIMON DAYAN |
REUT SHAULI |
רעות שאולי | רימון דיין | נופר טפליץ | רונן בהרב |
| DR. ZIV M. PREIS (II) | YOSSI MANDELBAUM | TOM NISSANI | MORAN ZWIEBEL | צויבל מורן |
ניסני תום |
מנדלבאום יוסי |
) II) פרייז זיו ר"ד |
| MICHAL SCHWARTZ |
SHIMRIT CARMY NAAMAT |
EREZ GOLAN ) NAIM ( |
LAHAV TOM | ) תום להב | ת ארז גולן (נעים | שמרית כרמי-נעמ | מיכל שורץ |
| SHABTAI MICHAELI |
MEIRI OMER | ISHAY LEVANON |
KIMHI ADI | עדי קמחי | ישי לבנון | עומר מאירי | שבתאי מיכאלי |
| EITAN SHMUELI |
KARNIT AKRISH |
SHAHAF KLEIN-ROTH |
שחף רוט-קליין | קרנית אקריש | איתן שמואלי | ||
| AMIR ZOLTY |
YAARA -FRUEND AVRAHAMIDO |
ZABOROF | הםעידו זבורוף | יערה פרוינד-אבר | אמיר זולטי | ||
| TIK EREZ | GREGORY IRGO |
AMIT ZOMER FADIDA- |
עמית זומר-פדידה | גרגורי אירגו | ארז תיק | ||
| SHIRLEY IFRACH |
AZORISAAC- ANIDJAR |
DAFNI NIR | ניר דפני | יצחק אנידגר | שירלי יפרח-אזור | ||
| TZIPI .DR ITSIQ ISER |
DOR AVINERY |
SHAKED NISSAN COHEN- |
שקד ניסן-כהן | ציקדור אבינרי | ד"ר ציפי איסר אי | ||
| GALI OPINSKY |
AYELET RAM |
SIGAL VANTSOVSKY |
סיגל ונצובסקי | איילת רם | גלי אופינסקי | ||
| DAVID WEINSTEIN LIHI |
ELIMELECH | MORAG TAL | EYAL KHAYAT |
איל חיאט | טל מורג | ליהי אלימלך | דוד וינשטיין |
| DANIT RIMON | REUT BEITZ | YARDEN HADAR | DR. YEHUDA BEN-MEIR (IV) (IV) | מאיר בן יהודה ר"ד |
הדר ירדן |
בייץ רעות |
רימון דנית |
| .DR ILAN YARIV |
YAN FELDMAN |
SHIR TAL-DIGMI |
IRIT .DR MEVORACH (IV) (IV ( |
ד"ר אירית מבורך | שיר דיגמי-טל | יאן פלדמן | ד"ר יריב אילן |
June 26, 2020
Foresight Autonomous Holdings Ltd. 7 Golda Meir St. Ness Ziona 7403650 Israel
We refer to the Registration Statement on Form S-8 (the "Registration Statement") to be filed with the Securities and Exchange Commission under the Securities Act of 1933, as amended (the "Act"), on behalf of Foresight Autonomous Holdings Ltd. (the "Company"), relating to 22,391,785 of the Company's Ordinary Shares, no par value per share (the "Shares"), under the Foresight Autonomous Holdings Ltd. 2016 Equity Incentive Plan (the "Plan").
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 Israel.
In connection with this opinion, we have examined such corporate records, other documents, and such questions of Israeli law as we have considered necessary or appropriate. In such examination, we have assumed the genuineness of all signatures, the authenticity of all documents submitted to us as originals, the conformity to original documents of documents submitted to us as certified or photostatic copies, the authenticity of the originals of such copies and the due constitution of the Board of Directors of the Company.
Based on the foregoing and subject to the qualifications stated herein, we advise you that in our opinion, the Shares issuable under the Plan have been duly authorized and, when issued and paid for in accordance with the terms of the Plan, will be validly issued, fully paid and non-assessable.
We hereby consent to the filing of this opinion as part of the Registration Statement. This consent is not to be construed as an admission that we are a person whose consent is required to be filed with the Registration Statement under the provisions of the Act.
Sincerely yours,
/s/ Lipa Meir & Co
WWW.LIPAMEIR.CO.IL EMAIL: [email protected] (I) NOTARY (II) ADMITTED IN NY (III) ADMITTED IN ENGLAND (IV) OF COUNSEL יועץ) IV) באנגליה ד"עו רשיון) III) יורק בניו ד"עו רשיון) II) נוטריון) I)
We consent to the incorporation by reference in this Registration Statement on Form S-8 pertaining to the 2016 Equity Incentive Plan of our report dated March 31, 2020, relating to the financial statements of Foresight Autonomous Holdings Ltd. (which report expresses an unqualified opinion and includes an explanatory paragraph regarding the Registrant's ability to continue as a going concern) appearing in the Annual Report on Form 20-F of Foresight Autonomous Holdings Ltd. for the year ended December 31, 2019.
/s/ Brightman Almagor Zohar & Co. A Firm in the Deloitte Global Network
Tel Aviv, Israel June 26, 2020
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