Statement of Beneficial Ownership (sc 13d)
May 02 2019 - 6:09AM
Edgar (US Regulatory)
UNITED
STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE
13D
Under the Securities Exchange Act of 1934
INFORMATION
TO BE INCLUDED IN STATEMENTS FILED PURSUANT
TO
RULE 13d-1(a) AND AMENDMENTS THERETO FILED PURSUANT TO
RULE
13d-2(a)
WIZE
PHARMA, INC.
(Name
of Issuer)
COMMON
STOCK, PAR VALUE $0.001 PER SHARE
(Title
of Class of Securities)
97751M207
(CUSIP
Number)
Noam
Danenberg
Borochov
4, Hod Hasharon, Israel
(Name,
Address and Telephone Number of Person Authorized to Receive Notices and Communications)
April
21, 2019
(Date
of Event which Requires Filing of this Statement)
If
the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule
13D, and is filing this schedule because of §§240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box. ☐
Note
:
Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See §240.13d-7
for other parties to whom copies are to be sent.
The
information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section
18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the Notes).
CUSIP
No. 97751M207
1
|
NAMES
OF REPORTING PERSONS
I.R.S.
IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Noam
Danenberg
|
2
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ☐
(b) ☐
|
3
|
SEC USE ONLY
|
4
|
SOURCE
OF FUNDS
PF,
OO
|
5
|
CHECK
BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(e) or 2(f)
☐
|
6
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
Israel
|
NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY EACH
REPORTING
PERSON
WITH:
|
7
|
SOLE
VOTING POWER
387,000(1)
|
8
|
SHARED
VOTING POWER
400,013
(2)
|
9
|
SOLE
DISPOSITIVE POWER
387,000
(1)
|
10
|
SHARED
DISPOSITIVE POWER
400,013
(2)
|
11
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
822,013
(1)(2)
|
12
|
CHECK
BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
☐
|
13
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
7.77%
(3)
|
14
|
TYPE
OF REPORTING PERSON
IN
|
|
|
|
|
(1)
|
Includes
(i) 125,000 shares of common stock, (ii) 125,000 shares of common stock underlying Series A Warrants, (iii) 125,000 shares
of common stock underlying Series B Warrants and (iv) options to purchase 12,000 shares of common stock that are exercisable
within 60 days.
|
|
|
(2)
|
Includes
(i) 40,100 shares of common stock held by
N.
Danenberg Holdings (2000) Ltd.,
(ii) 265,531 shares of common stock issuable upon conversion
of convertible loans held by Mobigo Inc. and (iii) 94,382 shares of common stock issuable upon exercise of investment rights
held by Mobigo Inc.
|
|
|
(3)
|
Based
on 9,917,550 shares of common stock outstanding as of April 28, 2019 as disclosed by the Issuer to the reporting persons,
plus the shares of common stock underlying the options, restricted stock units, Series A Warrants, Series B Warrants, convertible
loans and investment rights referenced in footnotes (1) and (2).
|
CUSIP
No. 97751M207
1
|
NAMES
OF REPORTING PERSONS
I.R.S.
IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Mobigo
Inc.
|
2
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ☐
(b) ☐
|
3
|
SEC USE ONLY
|
4
|
SOURCE
OF FUNDS
OO
|
5
|
CHECK
BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(e) or 2(f)
☐
|
6
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
Republic
of Seychelles
|
NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY EACH
REPORTING
PERSON
WITH:
|
7
|
SOLE
VOTING POWER
0
|
8
|
SHARED
VOTING POWER
359,913
(1)
|
9
|
SOLE
DISPOSITIVE POWER
0
|
10
|
SHARED
DISPOSITIVE POWER
359,913
(1)
|
11
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
359,913
(1)
|
12
|
CHECK
BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
☐
|
13
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
3.5%
(2)
|
14
|
TYPE
OF REPORTING PERSON
CO
|
|
|
|
|
(1)
|
Includes
(i)
265,531 shares of common stock issuable upon conversion of convertible loans held
by Mobigo Inc. and (iii) 94,382 shares of common stock issuable upon exercise of investment rights held by Mobigo Inc. Noam
Danenberg has sole voting and dispositive control over securities of the Issuer owned by Mobigo Inc.
|
|
|
(2)
|
Based
9,917,550 shares of common stock outstanding as of April 28, 2019 as disclosed by the Issuer to the reporting persons, plus the
shares of common stock underlying the convertible loans and investment rights referenced in footnote (1).
|
CUSIP
No. 97751M207
1
|
NAMES
OF REPORTING PERSONS
I.R.S.
IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
N.
Danenberg Holdings (2000) Ltd.
|
2
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ☐
(b) ☐
|
3
|
SEC USE ONLY
|
4
|
SOURCE
OF FUNDS
OO
|
5
|
CHECK
BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(e) or 2(f)
☐
|
6
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
Israel
|
NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY EACH
REPORTING
PERSON
WITH:
|
7
|
SOLE
VOTING POWER
0
|
8
|
SHARED
VOTING POWER
40,100
(1)
|
9
|
SOLE
DISPOSITIVE POWER
0
|
10
|
SHARED
DISPOSITIVE POWER
40,100
(1)
|
11
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
40,100
(1)
|
12
|
CHECK
BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
☐
|
13
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0.4%
(2)
|
14
|
TYPE
OF REPORTING PERSON
OO
|
|
|
|
|
(1)
|
Includes
40,100 shares of common stock
. Noam Danenberg
has
sole voting and dispositive control over securities of the Issuer owned by
N. Danenberg Holdings (2000) Ltd.
|
|
|
(2)
|
Based
on 9,917,550 shares of common stock outstanding as of April 28, 2019 as disclosed by the Issuer to the reporting persons.
|
Item
1.
|
Security and Issuer
|
This
Schedule 13D (the “
Schedule 13D
”) relates to the common stock, par value $0.001 per share (the “
Common
Stock
”), of Wize Pharma, Inc., a Delaware corporation (“
Issuer
”), which is located at 5b Hanagar
Street, Hod Hasharon, Israel, 4527708. All information contained in the Schedule 13D is, after reasonable inquiry and to the best
of the Reporting Persons’ knowledge and belief, complete and correct as of the date hereof.
Item
2.
|
Identity and Background
|
(a)
|
This statement is being filed by Noam Danenberg, Mobigo Inc. (“Mobigo”) and N. Danenberg Holdings (2000) Ltd. (“NDH”, and together with Mr. Danenberg and Mobigo, the “Reporting Persons”).
|
(b)
|
The Reporting Persons’
principal business address is Borochov 4, Hod Hasharon, Israel.
|
(c)
|
Mr.
Danenberg is the Chief Executive Officer of the Issuer.
|
(d)
|
During the last five
years, the Reporting Persons have not been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors).
|
(e)
|
During the last five
years, the Reporting Persons have not been a party to a civil proceeding of a judicial or administrative body of competent
jurisdiction and as a result of such proceeding was or is subject to a judgment, decree or final order enjoining future violations
of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violations with respect
to such laws.
|
(f)
|
Mr. Danenberg is an
Israeli citizen, NDH is incorporated under the laws of Israel and Mobigo is incorporated under the laws of the Republic of
Seychelles.
|
|
Item
3.
|
Source
and Amount of Funds or Other Consideration
|
Mr.
Danenberg purchased the 125,000 shares of common stock, Series A Warrants to purchase 125,000 shares of common stock and Series
B Warrants to purchase 125,000 shares of common stock from the existing holder on April 21, 2019 with his personal funds. Mobigo
Inc. purchased the convertible loans (convertible into
265,531 shares of common stock) and
the investment rights (exercisable into 94,382 shares of common stock) from Ridge Valley Corporation (“Ridge”) on
April 21, 2019 for the release of certain debts owed to him by Ridge. Mr. Danenberg’s wife owns 49% of Ridge. NDH was issued
the 40,1000 shares in April 2018 as compensation for services Mr. Danenberg provided to the Issuer through NDH. Mr. Danenberg
was issued options to purchase 36,000 shares of common stock on April 4, 2018, of which 12,000 are exercisable within 60 days
of filing and 140,000 RSUs on March 31, 2019, of which 35,000 vest within 60 days of filing.
|
Item
4.
|
Purpose
of Transaction
|
All
of the Issuer’s securities owned by the Reporting Persons have been acquired for investment purposes only. Except
as set forth above, the Reporting Persons have no present plans or proposals that relate to or would result in any of the actions
required to be described in subsections (a) through (j) of Item 4 of Schedule 13D. The Reporting Persons may, at any time,
review or reconsider their position with respect to the Issuer and formulate plans or proposals with respect to any of such matters,
but has no present intention of doing so.
Item
5.
|
Interest in Securities
of the Issuer
|
(a)
|
As of the date hereof,
the Reporting Persons beneficially own 822,013 shares of the Issuer’s common stock, which represents approximately 7.8%
of the Issuer’s common stock.
|
(b)
|
Mr.
Danenberg may be deemed to hold sole voting and dispositive power over 387,000 shares of common stock of the Issuer consisting
of (i) 125,000 shares of common stock, (ii) 125,000 shares of common stock underlying Series A Warrants, (iii) 125,000 shares
of common stock underlying Series B Warrants, (iv) options to purchase 12,000 shares of common stock that are exercisable within
60 days and (v) shares of common stock underlying RSUs that vest within 60 days. Mr. Danenberg may be deemed to hold shared voting
and dispositive power over
(i) 40,100 shares of common stock held by NDH, (ii) 265,531 shares
of common stock issuable upon conversion of convertible loans held by Mobigo and (iii) 94,382 shares of common stock issuable
upon exercise of investment rights held by Mobigo.
|
|
|
|
Mobigo may be deemed to hold shared voting and dispositive power
over
(ii) 265,531 shares of common stock issuable upon conversion of convertible loans held
by Mobigo and (iii) 94,382 shares of common stock issuable upon exercise of investment rights held by Mobigo.
NDH may be deemed to hold shared voting and dispositive power
over 40,1000 shares of common stock held by NDH.
|
(c)
|
Within the last 60 days,
(i) options to purchase 3,000 shares vested on April 4, 2019, (ii) Mr. Danenberg purchased the 125,000 shares of common stock,
Series A Warrants to purchase 125,000 shares of common stock and Series B Warrants to purchase 125,000 shares of common stock
from the existing holder on April 21, 2019, for a total purchase price of $125,000, and (iii) Mobigo Inc. purchased the convertible
loans (convertible into
265,531 shares of common stock) and the investment rights (exercisable
into 94,382 shares of common stock) from Ridge on April 21, 2019 for the release of certain debts owed to him by Ridge in
the amount of approximately $275,000. Mr. Danenberg’s wife owns 49% of Ridge. NDH was issued the 40,1000
shares in April 2018 as compensation for services Mr. Danenberg provided to the Issuer through NDH.
|
(d)
|
To the best knowledge
of the Reporting Persons, no person other than the Reporting Persons have the right to receive, or the power to direct the
receipt of, dividends from, or the proceeds from the sale of the 822,013 shares of common stock reported in Item 5(a).
|
Item
6.
|
Contracts, Arrangements,
Understandings or Relationships with Respect to Securities of the Issuer.
|
Not
applicable.
Item
7.
|
Material to Be Filed
as Exhibits
|
Signature
After
reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true,
complete and correct.
Dated:
May 1, 2019
|
/s/
Noam
Danenberg
|
|
Noam
Danenberg
|
|
|
Dated:
May 1, 2019
|
Mobigo
Inc.
|
|
|
|
By:
|
/s/ Noam Danenberg
|
|
Name:
|
Noam Danenberg
|
|
Title:
|
Owner
|
Dated:
May 1, 2019
|
N.
Danenberg Holdings (2000) Ltd.
|
|
|
|
By:
|
/s/ Noam Danenberg
|
|
Name:
|
Noam Danenberg
|
|
Title:
|
Chief Executive Officer
|
7