SEC Form SC 13G/A filed by Fiverr International Ltd. (Amendment)
CUSIP No. M4R82T106
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Schedule 13G
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Page 2 of 5
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1
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NAMES OF REPORTING PERSONS
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Micha Kaufman
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)☐
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(b)☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
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Israel
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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5
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SOLE VOTING POWER
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2,757,392
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6
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SHARED VOTING POWER
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0
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7
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SOLE DISPOSITIVE POWER
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2,757,392
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8
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SHARED DISPOSITIVE POWER
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0
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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2,757,392
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10
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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Not Applicable
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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7.0%
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12
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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IN
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CUSIP No. M4R82T106
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Schedule 13G
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Page 3 of 5
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ITEM 1. | (a) |
Name of Issuer:
Fiverr International Ltd. (the “Issuer”).
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(b) |
Address of Issuer’s Principal Executive Offices:
8 Eliezer Kaplan St, Tel Aviv 6473409, Israel.
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ITEM 2. | (a) |
Name of Issuer:
Micha Kaufman is hereinafter referred to as the “Reporting Person.”
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(b) |
Address or Principal Business Office:
The business address of the Reporting Person is C/O Fiverr International Ltd. 8 Eliezer Kaplan St, Tel Aviv 6473409, Israel.
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(c) |
Citizenship of each Reporting Person is:
The Reporting Person is a citizen of Israel.
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(d) |
Title of Class of Securities:
Ordinary Shares, no par value (“Ordinary Shares”). |
(e) |
CUSIP Number:
M4R82T106
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CUSIP No. M4R82T106
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Schedule 13G
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Page 4 of 5
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ITEM 4. |
Ownership.
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Reporting Person
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Amount
beneficially
owned
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Percent
of class:
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Sole
power to vote or to direct the vote: |
Shared
power to
vote or to
direct the vote: |
Sole
power to dispose or to direct the disposition of:
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Shared
power to
dispose or
to direct
the
disposition
of:
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Micha Kaufman
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2,757,392
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7.0
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%
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2,757,392
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0
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2,757,392
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0
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ITEM 5. |
Ownership of Five Percent or Less of a Class.
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ITEM 6. |
Ownership of More than Five Percent on Behalf of Another Person.
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ITEM 7. |
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company.
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ITEM 8. |
Identification and Classification of Members of the Group.
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ITEM 9. |
Notice of Dissolution of Group.
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ITEM 10. |
Certification.
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CUSIP No. M4R82T106
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Schedule 13G
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Page 5 of 5
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/s/ Micha Kaufman
Micha Kaufman
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