Amendment: SEC Form SC 13G/A filed by Maris-Tech Ltd.

10/15/24 12:40:25 PM ET

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SC 13G/A 1 13gJacobsen001a3MTEK-MTEKW.txt SC 13G/A UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 3) Maris Tech Ltd. (Name of Issuer) Common Stock, no par value per share Warrants to Purchase Ordinary Shares (Title of Class of Securities) M68057104 (CUSIP Number) October 14, 2024 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [ x ] Rule 13d-1(c) [ ] Rule 13d-1(d) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP No. M68057104 (1) Names of Reporting Persons/ I.R.S. Identification Nos. of Above Persons (Entities Only) Per A. Jacobsen (2) Check the Appropriate Box if a Member of a Group (See Instructions) (a) (b) (3) SEC Use Only (4) Citizenship or Place of Organization Maryland Number of Shares Beneficially Owned by Each Reporting Person With (5) Sole Voting Power 455,480 (6) Shared Voting Power 0 (7) Sole Dispositive Power 455,480 (8) Shared Dispositive Power 0 (9) Aggregate Amount Beneficially Owned by Each Reporting Person 455,480 (10) Check if the Aggregate Amount in Row (9) Excludes Certain Shares [ ] (See Instructions) (11) Percent of Class Represented by Amount in Row (9) 5.8% (12) Type of Reporting Person (See Instructions) IN Item 1. (a) Name of Issuer Maris Tech Ltd. (b) Address of Issuer's Principal Executive Offices 2 Yitzhak Modai St. Rehovot, Israel 7608804 Item 2. (a) Name of Person Filing Per A. Jacobsen (b) Address of Principal Business Office or, if none, Residence P.O. Box 444 Ashton, MD 20861-0444 (c) Citizenship Maryland (d) Title of Class of Securities Common Stock, no par value per share Warrants to Purchase Ordinary Shares (e) CUSIP Number M68057104 Item 3. If this statement is filed pursuant to 240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: (a)[ ] Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o); (b) [ ] Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c); (c) [ ] Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c); (d) [ ] Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8); (e) [ ] An investment adviser in accordance with 240.13d-1(b)(1)(ii)(E); (f) [ ] An employee benefit plan or endowment fund in accordance with 240.13d-1(b)(1)(ii)(F); (g) [ ] A parent holding company or control person in accordance with 240.13d-1(b)(1)(ii)(G); (h) [ ] A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); (i) [ ] A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); (j) [ ] Group, in accordance with 240.13d-1(b)(1)(ii)(J). Item 4. (a) Amount beneficially owned: As of October 15, 2024, the Reporting Person held sole voting and dispositive power over 455,480 Ordinary Shares of the Issuer consisting of (i) 195,000 Ordinary Shares, and (ii) warrants to purchase up to 260,480 Ordinary Shares. The warrants were exercisable immediately upon issuance and will expire on January 6, 2027. (b) Percent of class: 5.8%. The percentage of shares of the Issuer's common stock as reported in this Schedule 13G is based upon 7,878,501 shares of the Issuer's common stock outstanding as of June 30, 2024 on a basic shares basis, as reported in the Issuer's Interim Financial Statements filed on or about August 28, 2024. (c) Number of shares as to which the person has: (i) Sole power to vote or to direct the vote 455,480 (ii) Shared power to vote or to direct the vote 0 (iii) Sole power to dispose or to direct the disposition of 455,480 (iv) Shared power to dispose or to direct the disposition of 0 Item 5. Ownership of Five Percent or Less of a Class If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [ ] Item 6. Ownership of More than Five Percent on Behalf of Another Person. N/A Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company. N/A Item 8. Identification and Classification of Members of the Group. N/A Item 9. Notice of Dissolution of Group. N/A Item 10. Certification. By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. SIGNATURES After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Date: October 15, 2024 Per A. Jacobsen: By: /s/ Per A. Jacobsen

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Amendment: SEC Form SC 13G/A filed by Maris-Tech Ltd.

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