SEC Form 4 · accession 0001213900-17-007932
My Size, Inc. · MYSZ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Billy Balla Luzon
Officer — Chief Product Officer
Period of report
Jul 24, 2017
Accepted (ET)
Jul 26, 2017 · 4:49 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001211805
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to purchase Common Stock (right to buy)F1 | $1.21 | Jul 24, 2017 | A | 150,000 | A | — | Jul 24, 2022 | Common Stock, $.001 par value per share | 150,000 | 150,000 | D |
| Option to purchase Common Stock (right to buy)F3,F2 | $1.21 | Jul 24, 2017 | A | 150,000 | A | — | Jul 24, 2022 | Common Stock, $.001 par value per share | 150,000 | 150,000 | I |
Explanation of responses
- F1Option grant under the My Size, Inc. 2017 Equity Incentive Plan, none of which options have vested. All of such options shall vest on January 24, 2018.
- F2Option grant under the My Size, Inc. 2017 Equity Incentive Plan, none of which options have vested. All of such options shall vest on January 24, 2018.
- F3Options acquired by Spouse (Chief Executive Officer and Director Ronen Luzon).