0001213900-18-015000.txt : 20181107 0001213900-18-015000.hdr.sgml : 20181107 20181106185219 ACCESSION NUMBER: 0001213900-18-015000 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181107 DATE AS OF CHANGE: 20181106 EFFECTIVENESS DATE: 20181107 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Wize Pharma, Inc. CENTRAL INDEX KEY: 0001218683 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 880445167 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-325223 FILM NUMBER: 181164333 BUSINESS ADDRESS: STREET 1: 5B HANAGAR STREET CITY: HOD HASHARON STATE: L3 ZIP: 4527708 BUSINESS PHONE: 972 472 260 0536 MAIL ADDRESS: STREET 1: 5B HANAGAR STREET CITY: HOD HASHARON STATE: L3 ZIP: 4527708 FORMER COMPANY: FORMER CONFORMED NAME: OphthaliX, Inc. DATE OF NAME CHANGE: 20120207 FORMER COMPANY: FORMER CONFORMED NAME: DENALI CONCRETE MANAGEMENT INC DATE OF NAME CHANGE: 20030213 D 1 primary_doc.xml X0708 D LIVE 0001218683 Wize Pharma, Inc. 5B HANAGAR STREET HOD HASHARON L3 ISRAEL 4527708 972 (72) 260-0536 DELAWARE OPHTHALIX INC. OphthaliX, Inc. DENALI CONCRETE MANAGEMENT INC Corporation true Or Eisenberg C/O 24 Hanagar Street Hod Hasharon L3 ISRAEL 4527708 Executive Officer Acting Chief Executive Officer, Chief Financial Officer, Treasurer and Secretary Ron Mayron C/O 24 Hanagar Street Hod Hasharon L3 ISRAEL 4527708 Director Chairman Michael Belkin C/O 24 Hanagar Street Hod Hasharon L3 ISRAEL 4527708 Director Yossi Keret C/O 24 Hanagar Street Hod Hasharon L3 ISRAEL 4527708 Director Franck Amouyal C/O 24 Hanagar Street Hod Hasharon L3 ISRAEL 4527708 Director Joseph Zarzewsky C/O 24 Hanagar Street Hod Hasharon L3 ISRAEL 4527708 Director Noam Danenberg C/O 24 Hanagar Street Hod Hasharon L3 ISRAEL 4527708 Executive Officer Chief Operating Officer Pharmaceuticals Decline to Disclose 06b false 2018-10-24 false true true true false 0 Fordham Financial Management, Inc. 20996 None None 17 BATTERY PLACE, SOUTH SUITE 643 NEW YORK NY NEW YORK 10004 AL ALABAMA AK ALASKA CA CALIFORNIA CO COLORADO CT CONNECTICUT FL FLORIDA IL ILLINOIS KS KANSAS LA LOUISIANA MD MARYLAND MA MASSACHUSETTS MN MINNESOTA NJ NEW JERSEY NY NEW YORK NC NORTH CAROLINA OR OREGON TX TEXAS WA WASHINGTON WI WISCONSIN true 4450000 4450000 0 false 18 292000 89000 0 false Wize Pharma, Inc. /s/ Or Eisenberg Or Eisenberg CEO 2018-11-06