0001141284-15-000001.txt : 20150311 0001141284-15-000001.hdr.sgml : 20150311 20150311095836 ACCESSION NUMBER: 0001141284-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150311 DATE AS OF CHANGE: 20150311 EFFECTIVENESS DATE: 20150311 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ACTELIS NETWORKS INC CENTRAL INDEX KEY: 0001141284 IRS NUMBER: 522160309 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-235612 FILM NUMBER: 15691314 BUSINESS ADDRESS: STREET 1: 47800 WESTINGHOUSE DR CITY: FREMONT STATE: CA ZIP: 94539 BUSINESS PHONE: 510-545-1040 MAIL ADDRESS: STREET 1: 47800 WESTINGHOUSE DR CITY: FREMONT STATE: CA ZIP: 94539 D 1 primary_doc.xml X0707 D LIVE 0001141284 ACTELIS NETWORKS INC 47800 WESTINGHOUSE DR FREMONT CA CALIFORNIA 94539 510-545-1040 DELAWARE None None Corporation true Tuvia Barlev c/o Actelis Networks, Inc. 47800 Westinghouse Drive Fremont CA CALIFORNIA 94539 Executive Officer Director Ram Vromen c/o Actelis Networks, Inc. 47800 Westinghouse Drive Fremont CA CALIFORNIA 94539 Director Israel Niv c/o Actelis Networks, Inc. 47800 Westinghouse Drive Fremont CA CALIFORNIA 94539 Director Yariv Gilat c/o Actelis Networks, Inc. 47800 Westinghouse Drive Fremont CA CALIFORNIA 94539 Director Zohar Alon c/o Actelis Networks, Inc. 47800 Westinghouse Drive Fremont CA CALIFORNIA 94539 Director Other Decline to Disclose 06b false 2015-02-24 false true false 0 3000000 3000000 0 false 24 0 0 0 false ACTELIS NETWORKS INC /s/ Oded Kadosh Oded Kadosh Secretary 2015-03-11