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Pluri Inc. — Director's Dealing 2012
May 15, 2012
6990_rns_2012-05-15_d402a3f7-620a-4b2d-a43c-08160e4e1898.pdf
Director's Dealing
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FORM 3
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
OMB APPROVAL OMB Number: 3235-0104 Expires: December 31, 2014 Estimated average burden hours 0.5 per response
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
- Name and Address of Reporting 2. Date of Event Requiring 3. Issuer Name and Ticker or Trading Symbol Person[*] Statement PLURISTEM THERAPEUTICS INC [ PSTI ] (Month/Day/Year) Kwiat Moria 0001549907 05/15/2012 4. Relationship of Reporting Person(s) to 5. If Amendment, Date of Original Filed Issuer (Month/Day/Year) (Last) (First) (Middle) (Check all applicable) X Director 10% Owner 11 HAKFAR ST. Officer Other (Street) (give title (specify 6. Individual or Joint/Group Filing below) below) (Check Applicable Line) KIRYAT L3 55525 X Form filed by One Reporting Person ONO Form filed by More than One Reporting Person (City) (State) (Zip) Table I – Non-Derivative Securities Beneficially Owned 1. Title of Security (Instr. 4) 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial Ownership Beneficially Owned (Instr. 4) Form: Direct (D) (Instr. 5) or Indirect (I) (Instr. 5) Table II – Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative 2. Date Exercisable and Expiration 3. Title and Amount of Securities 4. Conversion or Exercise 5. Ownership Form: 6. Nature of Indirect Security (Instr. 4) Date (Month/Day/Year) Underlying Derivative Security Price of Derivative Direct (D) or Indirect (I) Beneficial Ownership (Instr. 4) Security (Instr. 5) (Instr. 5) Amount or Number of Date Exercisable Expiration Date Title Shares
Explanation of Responses:
Remarks:
No securities are beneficially owned.
/s/ Moria Kwiat 05/15/2012 ** 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 4(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.