Registration Form • Mar 19, 2025
Registration Form
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FORM D
| OMB APPROVAL | |
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| -- | -------------- |
OMB Number: 3235-0076 Estimated average burden hours per response 4.00
Notice of Exempt Offering of Securities 1. Issuer's Identity CIK (Filer ID Number) Previous Names None Entity Type 0001158780 PLURISTEM THERPEUTICS INC. PLURISTEM LIFE SYSTEMS INC. AI SOFTWARE INC X Corporation Limited Partnership Limited Liability Company General Partnership Business Trust Other (Specify) Name of Issuer Pluri Inc. Jurisdiction of Incorporation/Organization NEVADA Year of Incorporation/Organization X Over Five Years Ago Within Last Five Years (Specify Year) Yet to Be Formed 2. Principal Place of Business and Contact Information Name of Issuer Pluri Inc. Street Address 1 Street Address 2 MATAM ADVANCED TECHNOLOGY PARK BUILDING NO. 5 City State/Province/Country ZIP/PostalCode Phone Number of Issuer HAIFA ISRAEL 3508409 972-74-710-7171 3. Related Persons Last Name First Name Middle Name Yanay Yaky Street Address 1 Street Address 2 Matam Advanced Technology Park Building No. 5 City State/Province/Country ZIP/PostalCode Haifa ISRAEL 3508409 Relationship: X Executive Officer X Director Promoter Clarification of Response (if Necessary): Chief Executive Officer, President and Director Last Name First Name Middle Name Zalts Liat Street Address 1 Street Address 2 Matam Advanced Technology Park Building No. 5 City State/Province/Country ZIP/PostalCode Haifa ISRAEL 3508409 Relationship: X Executive Officer Director Promoter Clarification of Response (if Necessary): Chief Financial Officer Last Name First Name Middle Name Aberman Zami Street Address 1 Street Address 2 Matam Advanced Technology Park Building No. 2 City State/Province/Country ZIP/PostalCode Haifa ISRAEL 3508409
| Relationship: | Executive Officer | X Director | Promoter | |
|---|---|---|---|---|
Clarification of Response (if Necessary):
| Chairman of the Board of Directors | |
|---|---|
| ------------------------------------ | -- |
| Last Name | First Name | Middle Name | ||
|---|---|---|---|---|
| Birger | Doron | |||
| Street Address 1 | Street Address 2 | |||
| Matam Advanced Technology Park City |
Building No. 2 State/Province/Country |
ZIP/PostalCode | ||
| Haifa | ISRAEL | 3508409 | ||
| Relationship: Executive Officer |
X Director Promoter |
|||
| Clarification of Response (if Necessary): | ||||
| Last Name Levi |
First Name Rami |
Middle Name | ||
| Street Address 1 | Street Address 2 | |||
| Matam Advanced Technology Park | Building No. 2 | |||
| City Haifa |
State/Province/Country ISRAEL |
ZIP/PostalCode 3508409 |
||
| Relationship: Executive Officer |
X Director Promoter |
|||
| Clarification of Response (if Necessary): | ||||
| Last Name | First Name | Middle Name | ||
| Shemesh-Ramussen | Maital | |||
| Street Address 1 | Street Address 2 | |||
| Matam Advanced Technology Park | Building No. 2 | |||
| City Haifa |
State/Province/Country ISRAEL |
ZIP/PostalCode 3508409 |
||
| Relationship: Executive Officer |
X Director Promoter |
|||
| Clarification of Response (if Necessary): | ||||
| Last Name Weinstein |
First Name Alejandro |
Middle Name | ||
| Street Address 1 | Street Address 2 | |||
| Matam Advanced Technology Park | Building No. 2 | |||
| City | State/Province/Country | ZIP/PostalCode | ||
| Haifa Relationship: Executive Officer |
ISRAEL X Director Promoter |
3508409 | ||
| Clarification of Response (if Necessary): | ||||
| 4. Industry Group | ||||
| Agriculture | Health Care | Retailing | ||
| Banking & Financial Services | X Biotechnology | Restaurants Technology |
||
| Commercial Banking | Health Insurance | Computers | ||
| Insurance | Hospitals & Physicians | |||
| Investing | Pharmaceuticals | Telecommunications | ||
| Investment Banking | Other Health Care | Other Technology | ||
| Pooled Investment Fund | Manufacturing | Travel | ||
| Is the issuer registered as | Real Estate | Airlines & Airports | ||
| an investment company under the Investment Company |
Commercial | Lodging & Conventions | ||
| Act of 1940? | Construction | Tourism & Travel | ||
| Yes No |
REITS & Finance | Services | ||
| Other Banking & Financial Services | Residential | Other Travel Other |
| Energy | |
|---|---|
| Coal Mining | |
| Electric Utilities | |
| Energy Conservation | |
| Environmental Services | |
| Oil & Gas | |
| Other Energy | |
| 5. Issuer Size | |
| Revenue Range OR |
Aggregate Net Asset Value Range |
| No Revenues | No Aggregate Net Asset Value |
| \$1 - \$1,000,000 | \$1 - \$5,000,000 |
| \$1,000,001 - \$5,000,000 | \$5,000,001 - \$25,000,000 |
| \$5,000,001 - \$25,000,000 | \$25,000,001 - \$50,000,000 |
| \$25,000,001 - \$100,000,000 |
\$50,000,001 - \$100,000,000 |
| Over \$100,000,000 | Over \$100,000,000 |
| X Decline to Disclose | Decline to Disclose |
| Not Applicable | Not Applicable |
| 6. Federal Exemption(s) and Exclusion(s) Claimed (select all that apply) | |
| Rule 504(b)(1) (not (i), (ii) or (iii)) | X Rule 506(b) |
| Rule 504 (b)(1)(i) | Rule 506(c) |
| Rule 504 (b)(1)(ii) | Securities Act Section 4(a)(5) |
| Rule 504 (b)(1)(iii) | Investment Company Act Section 3(c) |
| Section 3(c)(1) Section 3(c)(9) |
|
| Section 3(c)(2) Section 3(c)(10) |
|
| Section 3(c)(3) Section 3(c)(11) |
|
| Section 3(c)(4) Section 3(c)(12) |
|
| Section 3(c)(5) Section 3(c)(13) |
|
| Section 3(c)(6) Section 3(c)(14) |
|
| Section 3(c)(7) | |
| 7. Type of Filing | |
| X New Notice | Date of First Sale 2025-02-03 First Sale Yet to Occur |
| Amendment | |
| 8. Duration of Offering | |
| Does the Issuer intend this offering to last more than one year? | Yes X No |
| 9. Type(s) of Securities Offered (select all that apply) | |
| X Equity | Pooled Investment Fund Interests |
| Debt | Tenant-in-Common Securities |
| X Option, Warrant or Other Right to Acquire Another Security | Mineral Property Securities |
| X Security to be Acquired Upon Exercise of Option, Warrant or | Other (describe) |
| Other Right to Acquire Security | |
| 10. Business Combination Transaction |
Is this offering being made in connection with a business combination transaction, such as a merger, acquisition
| Yes | X No |
|---|---|
| Clarification of Response (if Necessary): | |
|---|---|
| ------------------------------------------- | -- |
| Minimum investment accepted from any outside investor \$ 0 USD |
|---|
| ---------------------------------------------------------------- |
| 12. Sales Compensation | ||||
|---|---|---|---|---|
| Recipient | Recipient CRD Number X None |
|||
| None | ||||
| (Associated) Broker or Dealer X None | (Associated) Broker or Dealer CRD Number X None | |||
| Street Address 1 None |
Street Address 2 | |||
| City State/Province/Country None UNKNOWN |
ZIP/Postal Code 00000 |
|||
| State(s) of Solicitation All States Non-US/Foreign |
||||
| AL AK AZ AR X CA CO IL IN IA KS KY LA MT NE NV NH NJ NM RI SC SD TN TX UT |
CT DE DC FL GA HI ID ME MD MA MI MN MS MO NY NC ND OH OK OR PA VT VA WA WV WI WY PR |
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| 13. Offering and Sales Amounts | ||||
| Total Offering Amount \$ 3,500,000 USD Total Amount Sold \$ 3,500,000 USD Total Remaining to be Sold \$ 0 USD Clarification of Response (if Necessary): |
or Indefinite or Indefinite |
|||
| 14. Investors | ||||
| Select if securities in the offering have been or may be sold to persons who do not qualify as accredited investors, and enter the number of such non-accredited investors who already have invested in the offering. Regardless of whether securities in the offering have been or may be sold to persons who do not qualify as accredited investors, enter the total number of investors who already have 1 invested in the offering: |
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| 15. Sales Commissions & Finder's Fees Expenses | ||||
| Provide separately the amounts of sales commissions and finders fees expenses, if any. If the amount of an expenditure is not known, provide an estimate and check the box next to the amount. |
||||
| Sales Commissions \$ 0 USD Estimate |
||||
| Finders' Fees \$ 0 USD Estimate |
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| Clarification of Response (if Necessary): |
Provide the amount of the gross proceeds of the offering that has been or is proposed to be used for payments to any of the persons required to be named as executive officers, directors or promoters in response to Item 3 above. If the amount is unknown, provide an estimate and check the box next to the amount.
Please verify the information you have entered and review the Terms of Submission below before signing and submitting this notice.
In submitting this notice, each identified issuer is:
Each Issuer identified above has read this notice, knows the contents to be true, and has duly caused this notice to be signed on its behalf by the undersigned duly authorized person.
For signature, type in the signer's name or other letters or characters adopted or authorized as the signer's signature.
| Issuer | Signature | Name of Signer |
Title | Date |
|---|---|---|---|---|
| Pluri Inc. | /s/ Liat Zalts | Liat Zalts | Chief Financial Officer | 2025-03-19 |
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.
* This undertaking does not affect any limits Section 102(a) of the National Securities Markets Improvement Act of 1996 ("NSMIA") [Pub. L. No. 104-290, 110 Stat. 3416 (Oct. 11, 1996)] imposes on the ability of States to require information. As a result, if the securities that are the subject of this Form D are "covered securities" for purposes of NSMIA, whether in all instances or due to the nature of the offering that is the subject of this Form D, States cannot routinely require offering materials under this undertaking or otherwise and can require offering materials only to the extent NSMIA permits them to do so under NSMIA's preservation of their anti-fraud authority.
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