o NoneEntity Type
0001211805
Topspin Medical Inc
Mysize Inc.
TOPSPIN MEDICAL INC
 
x Corporation
o Limited Partnership
o Limited Liability Company
o General Partnership
o Business Trust
o Other
Name of Issuer
 My Size, Inc.
Jurisdiction of Incorporation/OrganizationDELAWARE 
Year of Incorporation/Organization
  x Over Five Years Ago
  o Within Last Five Years (Specify Year)  
  o Yet to Be Formed 



2. Principal Place of Business and Contact Information
Name of Issuer 
 My Size, Inc. 
Street Address 1Street Address 2
 HAYARDEN 4, POB 1026 
CityState/Province/CountryZIP/Postal CodePhone No. of Issuer
 AIRPORT CITY ISRAEL 7010000 972-36009030 



3. Related Persons
Last NameFirst NameMiddle Name
LuzonRonen
Street Address 1Street Address 2
HaYarden 4, POB 1026
CityState/Province/CountryZIP/Postal Code
Airport CityISRAEL7010000
Relationship: x Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
 

Last NameFirst NameMiddle Name
KaufmanArik
Street Address 1Street Address 2
HaYarden 4, POB 1026
CityState/Province/CountryZIP/Postal Code
Airport CityISRAEL7010000
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
 

Last NameFirst NameMiddle Name
ElmaliahOren
Street Address 1Street Address 2
HaYarden 4, POB 1026
CityState/Province/CountryZIP/Postal Code
Airport CityISRAEL7010000
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
 

Last NameFirst NameMiddle Name
BranitzkyOron
Street Address 1Street Address 2
HaYarden 4, POB 1026
CityState/Province/CountryZIP/Postal Code
Airport CityISRAEL7010000
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
 

 
Last NameFirst NameMiddle Name
ZimmermanGuy
Street Address 1Street Address 2
HaYarden 4, POB 1026
CityState/Province/CountryZIP/Postal Code
Airport CityISRAEL7010000
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
 

Last NameFirst NameMiddle Name
KlesOr
Street Address 1Street Address 2
HaYarden 4, POB 1026
CityState/Province/CountryZIP/Postal Code
Airport CityISRAEL7010000
Relationship: x Executive Officer o Director o Promoter
Clarification of Response (if Necessary)
 

Last NameFirst NameMiddle Name
PardoBilly
Street Address 1Street Address 2
HaYarden 4, POB 1026
CityState/Province/CountryZIP/Postal Code
Airport CityISRAEL7010000
Relationship: x Executive Officer o Director o Promoter
Clarification of Response (if Necessary)
 

Last NameFirst NameMiddle Name
TurchinskyIlia
Street Address 1Street Address 2
HaYarden 4, POB 1026
CityState/Province/CountryZIP/Postal Code
Airport CityISRAEL7010000
Relationship: x Executive Officer o Director o Promoter
Clarification of Response (if Necessary)
 

 


4. Industry Group
o Agriculture Health Care o Retailing
 Banking & Financial Services   o Biotechnology o Restaurants
  o Commercial Banking   o Health Insurance Technology
  o Insurance  o Hospitals & Physicians  o Computers
  o Investing  o Pharmaceuticals  o Telecommunications
  o Investment Banking  o Other Health Care  x Other Technology
  o Pooled Investment Fund

    Travel
  o Other Banking & Financial Services o Manufacturing  o Airlines & Airports
 Real Estate  o Lodging & Conventions
  o Commercial  o Tourism & Travel Services
  o Construction  o Other Travel
  o REITS & Finance o Other
  o Residential 
  o Other Real Estate 
o Business Services 
 Energy 
  o Coal Mining 
  o Electric Utilities 
  o Energy Conservation 
  o Environmental Services 
  o Oil & Gas 
  o Other Energy 


5. Issuer Size
Revenue RangeAggregate Net Asset Value Range
o No Revenues o No Aggregate Net Asset Value
o $1 - $1,000,000 o $1 - $5,000,000
o $1,000,001 - $5,000,000 o $5,000,001 - $25,000,000
o $5,000,001 - $25,000,000 o $25,000,001 - $50,000,000
o $25,000,001 - $100,000,000 o $50,000,001 - $100,000,000
o Over $100,000,000 o Over $100,000,000
x Decline to Disclose o Decline to Disclose
o Not Applicable o Not Applicable


6. Federal Exemption(s) and Exclusion(s) Claimed (select all that apply)
o Rule 504(b)(1) (not (i), (ii) or (iii)) o Rule 505
o Rule 504 (b)(1)(i) x Rule 506(b)
o Rule 504 (b)(1)(ii) o Rule 506(c)
o Rule 504 (b)(1)(iii) o Securities Act Section 4(a)(5)
  o Investment Company Act Section 3(c)

7. Type of Filing
x New Notice Date of First Sale 2021-10-26 o First Sale Yet to Occur
o Amendment

8. Duration of Offering
Does the Issuer intend this offering to last more than one year? o Yes x No

9. Type(s) of Securities Offered (select all that apply)
o Pooled Investment Fund Interests x Equity
o Tenant-in-Common Securities o Debt
o Mineral Property Securities x Option, Warrant or Other Right to Acquire Another Security
x Security to be Acquired Upon Exercise of Option, Warrant or Other Right to Acquire Security o Other (describe)
  


10. Business Combination Transaction
Is this offering being made in connection with a business combination transaction, such as a merger, acquisition or exchange offer? o Yes x No
 
Clarification of Response (if Necessary) 
  

11. Minimum Investment
Minimum investment accepted from any outside investor$ 0 USD

12. Sales Compensation
RecipientRecipient CRD Number o None
 H.C. Wainwright & Co., LLC 375
(Associated) Broker or Dealer x None(Associated) Broker or Dealer CRD Number x None
    
Street Address 1Street Address 2
 430 PARK AVENUE 4TH FLOOR
City State/Province/CountryZIP/Postal Code
 NEW YORK NEW YORK 10022
State(s) of Solicitation o All States o Foreign/Non-US
 NEW YORK
 TEXAS
 

 



13. Offering and Sales Amounts
Total Offering Amount $ 8500035 USD o Indefinite
Total Amount Sold $ 8500035 USD 
Total Remaining to be Sold $ 0 USD o Indefinite
 
Clarification of Response (if Necessary)
 The securities were issued in an offering of 2,514,800 shares issued in an RDO, warrants to purchase 1,886,100 shares as part of the RDO, 3,772,208 shares issued in a PIPE, and warrants to purchase 2,829,156 shares as part of the PIPE.


14. Investors
o Select if securities in the offering have been or may be sold to persons who do not qualify as accredited investors,
Number of such non-accredited investors who already have invested in the offering
 
  Regardless of whether securities in the offering have been or may be sold to persons who do not qualify as accredited investors, enter the total number of investors who already have invested in the offering: 5


15. Sales Commissions & Finders’ Fees Expenses
Provide separately the amounts of sales commissions and finders' fees expenses, if any. If the amount of an expenditure is not known, provide an estimate and check the box next to the amount.
Sales Commissions$ 595002 USD o Estimate
Finders' Fees$ 0 USD o Estimate
 
Clarification of Response (if Necessary)
 HCW also received a $85,000 management fee, a $35,000 non-accountable expense allowance and reimbursement of certain out-of-pocket expenses of up to $50,000. We also issued HCW warrants to purchase 440,091 shares exercisable at $1.69 per share for 5 years


16. Use of Proceeds
Provide the amount of the gross proceeds of the offering that has been or is proposed to be used for payments to any of the persons required to be named as executive officers, directors or promoters in response to Item 3 above. If the amount is unknown, provide an estimate and check the box next to the amount.
 $ 0 USD o
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