SEC Form 4 · accession 0001387131-16-005851
BLUE SPHERE CORP. · BLSP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Elroy Amitzur
Officer — Executive Vice President
Period of report
Apr 30, 2013
Accepted (ET)
Jun 17, 2016 · 11:26 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001419582
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.001 per shareF1,F2 | Jun 13, 2016 | A | 1,542,405 | — | A | 3,238,514 | I | By JLS Advanced Investment Holdings Ltd. |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock AwardF3,F2 | — | Feb 24, 2015 | A | 2,041,667 | A | — | — | Common Stock, par value $0.001 per share | 2,041,667 | 2,041,667 | I |
| Incentive Stock Options (Right to Buy)F4,F2 | $0.5763 | Apr 30, 2013 | A | 168,142 | A | — | Apr 30, 2018 | Common Stock, par value $0.001 per share | 168,142 | 168,142 | I |
Explanation of responses
- F1The 1,542,405 shares of Common Stock acquired by the reporting person represent (a) 84,072 shares awarded pursuant to a one-time grant under the issuer's Global Share Incentive Plan (2010) (the "2010 Incentive Plan") and (b) 1,458,333 shares awarded pursuant to a stock award under the issuer's Global Share and Options Incentive Enhancement Plan (2014) (the "2014 Incentive Plan"). The stock award under the 2014 Incentive Plan was granted on February 24, 2015 for 3,500,000 shares of Common Stock and vests in quarterly installments. As of the date of this report, 1,458,333 of such shares have vested and been issued and 2,041,667 of such shares remain to be vested and/or issued. The 2,041,667 shares that have not yet vested and/or been issued are not included in the number of securities beneficially owned in Table I, Column 5 of this report.
- F2The securities in Table I, Column 5 and Table II, Column 11 of this report are owned by JLS Advanced Investment Holdings Ltd. Mr. Amitzur's family owns and controls JLS Advanced Investment Holdings Ltd., and therefore Mr. Amitzur is deemed to have indirect beneficial ownership of such securities.
- F3The stock award under the 2014 Incentive Plan was granted on February 24, 2015 for 3,500,000 shares of Common Stock and vests in quarterly installments. As of the date of this report, 1,458,333 of such shares have been issued and 2,041,667 shares have not been issued (of which, 437,500 shares have vested and 1,604,167 shares are unvested).
- F4The stock options were awarded under the 2010 Incentive Plan on April 30, 2013. As of the date of this report, the stock options are exercisable.