0001144204-19-044681.txt : 20190916 0001144204-19-044681.hdr.sgml : 20190916 20190916141155 ACCESSION NUMBER: 0001144204-19-044681 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190916 DATE AS OF CHANGE: 20190916 EFFECTIVENESS DATE: 20190916 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PolyPid Ltd. CENTRAL INDEX KEY: 0001611842 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 STATE OF INCORPORATION: L3 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-348916 FILM NUMBER: 191094384 BUSINESS ADDRESS: STREET 1: 20 HAMAGSHIMIM STREET, MATALON CENTER CITY: PETACH TIKVA STATE: L3 ZIP: 49348 BUSINESS PHONE: 972-74-7195700 MAIL ADDRESS: STREET 1: 20 HAMAGSHIMIM STREET, MATALON CENTER CITY: PETACH TIKVA STATE: L3 ZIP: 49348 D 1 primary_doc.xml X0708 D LIVE 0001611842 PolyPid Ltd. 18 HASIVIM STREET PETACH TIKVA L3 ISRAEL 4959376 +972-74-7195700 ISRAEL None None Corporation true Amir Weisberg c/o PolyPid Ltd. 18 Hasivim Street Petach Tikva L3 ISRAEL 4959376 Executive Officer Director Dikla Czaczkes Akselbrad c/o PolyPid Ltd. 18 Hasivim Street Petach Tikva L3 ISRAEL 4959376 Executive Officer Noam Emanuel c/o PolyPid Ltd. 18 Hasivim Street Petach Tikva L3 ISRAEL 4959376 Executive Officer Director Shaul Mukhtar c/o PolyPid Ltd. 18 Hasivim Street Petach Tikva L3 ISRAEL 4959376 Executive Officer Dalit Hazan c/o PolyPid Ltd. 18 Hasivim Street Petach Tikva L3 ISRAEL 4959376 Executive Officer Director Jacob Harel c/o PolyPid Ltd. 18 Hasivim Street Petach Tikva L3 ISRAEL 4959376 Director Yechezkel Barenholz c/o PolyPid Ltd. 18 Hasivim Street Petach Tikva L3 ISRAEL 4959376 Director Eli Frydman c/o PolyPid Ltd. 18 Hasivim Street Petach Tikva L3 ISRAEL 4959376 Director Chaim Hurvitz c/o PolyPid Ltd. 18 Hasivim Street Petach Tikva L3 ISRAEL 4959376 Director Anat Tsour Segal c/o PolyPid Ltd. 18 Hasivim Street Petach Tikva L3 ISRAEL 4959376 Executive Officer Director Itzhak Krinsky c/o PolyPid Ltd. 18 Hasivim Street Petach Tikva L3 ISRAEL 4959376 Director Gerry Rubens c/o PolyPid Ltd. 18 Hasivim Street Petach Tikva L3 ISRAEL 4959376 Director Biotechnology Decline to Disclose 06b false 2019-06-28 false true true false 50000 National Securities Corporation 7569 National Securities Corporation 7569 200 VESEY STREET, 25TH FLOOR NEW YORK NY NEW YORK 10281 All States false 50000000 26859292 23140708 false 361 2743168 0 In addition to the cash commission above, issuer also issued warrants to purchase a number of shares of issuer's Series E-1 Preferred Shares equal to 10% of the aggregate amount of Series E-1 Preferred Shares sold in the offering. 687186 Two of our executive officers are entitled to receive 1% of the aggregate net proceeds of the offering, and an additional executive officer is entitled to receive a one-time bonus of $150,000 as a result of the offering. false PolyPid Ltd. /s/ Amir Weisberg Amir Weisberg Chief Executive Officer 2019-09-16