Initial Statement of Beneficial Ownership (3)
31 Décembre 2019 - 10:18PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
PROPPER KERRY |
2. Date of Event Requiring Statement (MM/DD/YYYY)
12/18/2019
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3. Issuer Name and Ticker or Trading Symbol
BiomX Inc. [PHGE]
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(Last)
(First)
(Middle)
C/O CHARDAN CAPITAL MARKETS, LLC, 17 STATE STREET, SUITE 1600 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director ___X___ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Street)
NEW YORK, NY 10014
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Warrants to Purchase Common Stock | 12/18/2019 | 10/28/2024 | Common Stock | 2900000 | $11.50 | I | By Mountain Wood, LLC (1) |
Explanation of Responses: |
(1) | The securities reported herein are held by Mountain Wood, LLC and may be deemed to be indirectly beneficially owned by Kerry Propper. Mr. Propper disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that such person is the beneficial owner of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
PROPPER KERRY C/O CHARDAN CAPITAL MARKETS, LLC 17 STATE STREET, SUITE 1600 NEW YORK, NY 10014 |
| X |
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Mountain Wood LLC C/O CHARDAN CAPITAL MARKETS, LLC 17 STATE STREET, SUITE 1600 NEW YORK, NY 10014 |
| X |
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Signatures
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/s/ Kerry Propper | | 12/30/2019 |
**Signature of Reporting Person | Date |
/s/ Kerry Propper | | 12/30/2019 |
**Signature of Reporting Person | Date |
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