4//SEC Filing
Microbot Medical Inc. 4
Accession 0001213900-16-019069
$MBOTCIK 0000883975operating
Filed
Nov 29, 7:00 PM ET
Accepted
Nov 30, 5:34 PM ET
Size
10.7 KB
Accession
0001213900-16-019069
Insider Transaction Report
Form 4
ALPHA CAPITAL ANSTALT
10% Owner
Transactions
- Other
Common Stock
2016-11-28−7,977,092→ 1,776,457 total - Other
Convertible Debenture
2016-11-28+1,776,457→ 1,776,457 totalExercise: $0.64→ Common Stock - Other
Common Stock
2016-11-28+9,753,549→ 9,753,549 total
Footnotes (3)
- [F1]Pursuant to a merger agreement effective as of November 28, 2016 reported in a Form 8-K filed by the Issuer on November 29, 2016, Alpha Capital Anstalt ("Alpha") was issued 9,753,549 shares of common stock, which immediately following the merger were surrendered by Alpha to the Issuer pursuant to the terms of a Right to Shares Agreement. The Right to Shares Agreement contains a 4.99% "blocker" provision designed to prevent Alpha from being a beneficial owner of more than 4.99% of the Issuer's Common Stock. Therefore, Alpha is no longer an affiliate of the Issuer.
- [F2]In connection with the merger on November 28, 2016, Alpha exchanged a non-convertible note for a convertible debenture containing a 4.99% "blocker" provision.
- [F3]The number of shares owned by Alpha does not include any shares issued to Lane Ventures, Inc., a consultant of the Issuer. Alpha disclaims beneficial ownership of any of the shares issued to Lane Ventures, Inc.
Documents
Issuer
Microbot Medical Inc.
CIK 0000883975
Entity typeoperating
IncorporatedDE
Related Parties
1- filerCIK 0000883975
Filing Metadata
- Form type
- 4
- Filed
- Nov 29, 7:00 PM ET
- Accepted
- Nov 30, 5:34 PM ET
- Size
- 10.7 KB