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Pluri Inc. — Major Shareholding Notification 2021
Jul 27, 2021
6990_rns_2021-07-26_c79594fb-31a1-4c7f-8277-e60c02714e93.pdf
Major Shareholding Notification
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FORM 3 UNITED STATES SECURITIES AND EXCHANGE
COMMISSION
Washington, D.C. 20549
OMB APPROVAL OMB Number: 3235-0104 Estimated average burden hours per response 0.5
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
| 1. Name and Address of Reporting Person* Shalev Varda |
2. Date of Event Requiring Statement (Month/Day/Year) |
3. Issuer Name and Ticker or Trading Symbol PLURISTEM THERAPEUTICS INC [ PSTI ] |
|||||||
|---|---|---|---|---|---|---|---|---|---|
| (Last) PARK |
(First) MATAM ADVANCED TECHNOLOGY |
(Middle) | 07/15/2021 | to Issuer X |
4. Relationship of Reporting Person(s) (Check all applicable) Director |
10% Owner | 5. If Amendment, Date of Original Filed (Month/Day/Year) |
||
| BUILDING NO. 5 | Officer (give title below) |
Other (specify below) |
6. Individual or Joint/Group Filing (Check Applicable Line) |
||||||
| (Street) | X | Form filed by One Reporting | |||||||
| HAIFA | L3 | 3508409 | Person | ||||||
| (City) | (State) | (Zip) | Form filed by More than One Reporting Person |
| Table I – Non-Derivative Securities Beneficially Owned | |||||||
|---|---|---|---|---|---|---|---|
| 1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) |
3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) |
4. Nature of Indirect Beneficial Ownership (Instr. 5) |
| Table II – Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) |
||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise |
5. Ownership Form: |
6. Nature of Indirect Beneficial |
|||||||
| Date Exercisable |
Expiration Date |
Title | Amount or Number of Shares |
Price of Direct (D) Derivative or Indirect Security (I) (Instr. 5) |
Ownership (Instr. 5) |
Explanation of Responses:
Remarks:
No securities are beneficially owned.
/s/ Varda Shalev 07/26/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.