SEC Form SC 13D filed by Chemomab Therapeutics Ltd. American Depositary Share
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Chemomab Therapeutics Ltd.
(Name of Issuer)
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American Depositary Shares, each of which represents twenty Ordinary Shares, no par value
Ordinary Shares, no par value
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16385C104
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Kiryat Atidim, Building 7
(Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications)
CUSIP No. 16385C104
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Page 2 of 6 Pages
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1 |
NAMES OF REPORTING PERSONS
Adi Mor
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2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) ☐
(b) ☐
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3 | SEC Use
Only |
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4 |
SOURCE OF FUNDS (See Instructions)
PF
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5 |
CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) or 2(e)
☐
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6 |
CITIZENSHIP OR PLACE OF ORGANIZATION
Israel
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH
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7 |
SOLE VOTING POWER
0
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8 |
SHARED VOTING POWER
1,329,468 (1)
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9 |
SOLE DISPOSITIVE POWER
0
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10 |
SHARED DISPOSITIVE POWER
1,329,468 (1)
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11 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,329,468 (1)
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12 |
CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions)
☐
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13 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
11.5% (2)
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14 |
TYPE OF REPORTING PERSON (See Instructions)
IN
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(1) |
Consists of (i) 649,550 ADSs owned directly by the Reporting Person, (ii) 514,495 ADSs owned by Dr. Kobi George, (the Reporting Person’s spouse), (iii) 131,698 ADSs issuable upon the exercise of options held by the Reporting Person, and
(iv) 33,725 ADSs of the Company issuable to Dr. Kobi George upon the exercise of options held by him.
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(2) |
The percentage presented is based on 11,404,514 ADSs outstanding as of January 4, 2022, as reported by the Issuer in its Definitive Proxy Statement on Schedule 14A filed with the U.S. Securities and Exchange Commission (the “SEC”)
on January 5, 2022.
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CUSIP No. 16385C104
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Page 3 of 6 Pages
|
1 |
NAMES OF REPORTING PERSONS
Kobi George
|
||
2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) ☐
(b) ☐
|
||
3 | SEC Use
Only |
||
4 |
SOURCE OF FUNDS (See Instructions)
PF
|
||
5 |
CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) or 2(e)
☐
|
||
6 |
CITIZENSHIP OR PLACE OF ORGANIZATION
Israel
|
||
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH
|
7 |
SOLE VOTING POWER
0
|
|
8 |
SHARED VOTING POWER
1,329,468 (1)
|
||
9 |
SOLE DISPOSITIVE POWER
0
|
||
10 |
SHARED DISPOSITIVE POWER
1,329,468 (1)
|
||
11 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,329,468 (1)
|
||
12 |
CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions)
☐
|
||
13 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
11.5% (2)
|
||
14 |
TYPE OF REPORTING PERSON (See Instructions)
IN
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(1) |
Consists of (i) 514,495 ADSs owned directly by the Reporting Person, (ii) 649,550 ADSs owned by Dr. Adi Mor (the Reporting Person’s spouse), (iii) 33,725 ADSs issuable upon the exercise of options held by the Reporting Person, and (iv)
131,698 ADSs issuable upon exercise of options held by Dr. Mor (the Reporting Person’s spouse).
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(2) |
The percentage presented is based on 11,404,514 ADSs outstanding as of January 4, 2022, as reported by the Issuer in its Definitive Proxy Statement on Schedule 14A filed with the SEC on January 5, 2022.
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Exhibit 1. |
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/s/ Adi Mor
ADI MOR
/s/ Kobi George
KOBI GEORGE
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