0001104659-17-066050.txt : 20171103 0001104659-17-066050.hdr.sgml : 20171103 20171103163131 ACCESSION NUMBER: 0001104659-17-066050 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171103 DATE AS OF CHANGE: 20171103 EFFECTIVENESS DATE: 20171103 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CollPlant Holdings Ltd. CENTRAL INDEX KEY: 0001631487 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 000000000 STATE OF INCORPORATION: L3 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-298090 FILM NUMBER: 171176839 BUSINESS ADDRESS: STREET 1: 3 SAPIR ST. STREET 2: WEIZMANN SCIENCE PARK, P.O.B. 4132 CITY: NESS-ZIONA STATE: L3 ZIP: 74140 BUSINESS PHONE: 972-73-232-5600 MAIL ADDRESS: STREET 1: 3 SAPIR ST. STREET 2: WEIZMANN SCIENCE PARK, P.O.B. 4132 CITY: NESS-ZIONA STATE: L3 ZIP: 74140 D 1 primary_doc.xml X0708 D LIVE 0001631487 CollPlant Holdings Ltd. 3 Sapir Street Weizmann Science Park Ness-Ziona L3 ISRAEL 74140 +972 73 232 5600 ISRAEL None None Corporation true Yehiel Tal 3 Sapir Street Weizmann Science Park Ness-Ziona L3 ISRAEL 74140 Executive Officer Oded Shoseyov 3 Sapir Street Weizmann Science Park Ness-Ziona L3 ISRAEL 74140 Executive Officer Eran Rotem 3 Sapir Street Weizmann Science Park Ness-Ziona L3 ISRAEL 74140 Executive Officer Ilana Belzer 3 Sapir Street Weizmann Science Park Ness-Ziona L3 ISRAEL 74140 Executive Officer Nadav Orr 3 Sapir Street Weizmann Science Park Ness-Ziona L3 ISRAEL 74140 Executive Officer Philippe Bensimon 3 Sapir Street Weizmann Science Park Ness-Ziona L3 ISRAEL 74140 Executive Officer Shomrat Shurtz 3 Sapir Street Weizmann Science Park Ness-Ziona L3 ISRAEL 74140 Executive Officer Adi Goldin 3 Sapir Street Weizmann Science Park Ness-Ziona L3 ISRAEL 74140 Director Abraham Havron 3 Sapir Street Weizmann Science Park Ness-Ziona L3 ISRAEL 74140 Director David Tsur 3 Sapir Street Weizmann Science Park Ness-Ziona L3 ISRAEL 74140 Director Gili Hart 3 Sapir Street Weizmann Science Park Ness-Ziona L3 ISRAEL 74140 Director Scott Burrell 3 Sapir Street Weizmann Science Park Ness-Ziona L3 ISRAEL 74140 Director Other Health Care Decline to Disclose 06b false 2017-10-26 false true true true false 0 5000000 2000000 3000000 false 1 0 0 0 Issuer expects to use proceeds from the offering for working capital purposes which includes payment of salaries to the named executive officers. false CollPlant Holdings Ltd. /s/ Eran Rotem Eran Rotem Chief Financial Officer 2017-11-03