SEC Form 4 · accession 0001178913-15-000866
Integrity Applications, Inc. · GCTK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Avner Gal
Officer — Chairman and CEO · Director
Period of report
Mar 11, 2015
Accepted (ET)
Mar 13, 2015 · 4:18 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001506983
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 | Mar 11, 2015 | J | 136,162 | $0.00 | D | 273,989 | I | By ESOP Management and Trust Co. FBO the Reporting Person |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Transferred by the Reporting Person to Y.H. Dimri Holdings (2001) Ltd. ("Dimri") pursuant to an arbitration decision dated March 11, 2015 (the "Decision"). Pursuant to the Decision, the Reporting Person and certain other stockholders of the Issuer (together with the Reporting Person, the "Founders"), among other things, were ordered to transfer to Dimri, no later than 14 days after the date of the Decision, an aggregate of 440,652 shares of the Issuer's common stock so that after such transfer, Dimri will beneficially own 14.39% of the Issuer's outstanding capital stock. The Reporting Person is required to transfer 136,162 of such 440,652 shares. If the share transfers described above are not timely made in accordance with the Decision, then the Founders must, within 30 days from the date of the Decision, transfer to Dimri additional shares of the Issuer's outstanding common stock so that Dimiri will beneficially own 18.0% of the Issuer's outstanding share capital.