x NoneEntity Type
0001638381
 
x Corporation
o Limited Partnership
o Limited Liability Company
o General Partnership
o Business Trust
o Other
Name of Issuer
 Intec Pharma Ltd.
Jurisdiction of Incorporation/OrganizationISRAEL 
Year of Incorporation/Organization
  x Over Five Years Ago
  o Within Last Five Years (Specify Year)  
  o Yet to Be Formed 



2. Principal Place of Business and Contact Information
Name of Issuer 
 Intec Pharma Ltd. 
Street Address 1Street Address 2
 12 HARTOM STREET HAR HOTZVIM
CityState/Province/CountryZIP/Postal CodePhone No. of Issuer
 JERUSALEM ISRAEL 777512 97225864657 



3. Related Persons
Last NameFirst NameMiddle Name
MECKLERJEFFREYA.
Street Address 1Street Address 2
12 HARTOM STREETHAR HOTZVIM
CityState/Province/CountryZIP/Postal Code
JERUSALEMISRAEL9777512
Relationship: x Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
 

Last NameFirst NameMiddle Name
NAVONNADAV
Street Address 1Street Address 2
12 HARTOM STREETHAR HOTZVIM
CityState/Province/CountryZIP/Postal Code
JERUSALEMISRAEL9777512
Relationship: x Executive Officer o Director o Promoter
Clarification of Response (if Necessary)
 

Last NameFirst NameMiddle Name
LINSCOTTWALTA
Street Address 1Street Address 2
12 HARTOM STREETHAR HOTZVIM
CityState/Province/CountryZIP/Postal Code
JERUSALEMISRAEL9777512
Relationship: x Executive Officer o Director o Promoter
Clarification of Response (if Necessary)
 

Last NameFirst NameMiddle Name
SASSINIR
Street Address 1Street Address 2
12 HARTOM STREETHAR HOTZVIM
CityState/Province/CountryZIP/Postal Code
JERUSALEMISRAEL9777512
Relationship: x Executive Officer o Director o Promoter
Clarification of Response (if Necessary)
 

 
Last NameFirst NameMiddle Name
GENDREAUR.MICHAEL
Street Address 1Street Address 2
12 HARTOM STREETHAR HOTZVIM
CityState/Province/CountryZIP/Postal Code
JERUSALEMISRAEL9777512
Relationship: x Executive Officer o Director o Promoter
Clarification of Response (if Necessary)
 

Last NameFirst NameMiddle Name
KOZARICHJOHNW.
Street Address 1Street Address 2
12 HARTOM STREETHAR HOTZVIM
CityState/Province/CountryZIP/Postal Code
JERUSALEMISRAEL9777512
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
 

Last NameFirst NameMiddle Name
KARAHHILAW.
Street Address 1Street Address 2
12 HARTOM STREETHAR HOTZVIM
CityState/Province/CountryZIP/Postal Code
JERUSALEMISRAEL9777512
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
 

Last NameFirst NameMiddle Name
MADDALUNAANTHONYJ.
Street Address 1Street Address 2
12 HARTOM STREETHAR HOTZVIM
CityState/Province/CountryZIP/Postal Code
JERUSALEMISRAEL9777512
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
 

 
Last NameFirst NameMiddle Name
HAYESWILLIAMB.
Street Address 1Street Address 2
12 HARTOM STREETHAR HOTZVIM
CityState/Province/CountryZIP/Postal Code
JERUSALEMISRAEL9777512
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
 

Last NameFirst NameMiddle Name
POMERANTZROGERJ.
Street Address 1Street Address 2
12 HARTOM STREETHAR HOTZVIM
CityState/Province/CountryZIP/Postal Code
JERUSALEMISRAEL9777512
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
 

 


4. Industry Group
o Agriculture Health Care o Retailing
 Banking & Financial Services   o Biotechnology o Restaurants
  o Commercial Banking   o Health Insurance Technology
  o Insurance  o Hospitals & Physicians  o Computers
  o Investing  x Pharmaceuticals  o Telecommunications
  o Investment Banking  o Other Health Care  o Other Technology
  o Pooled Investment Fund

    Travel
  o Other Banking & Financial Services o Manufacturing  o Airlines & Airports
 Real Estate  o Lodging & Conventions
  o Commercial  o Tourism & Travel Services
  o Construction  o Other Travel
  o REITS & Finance o Other
  o Residential 
  o Other Real Estate 
o Business Services 
 Energy 
  o Coal Mining 
  o Electric Utilities 
  o Energy Conservation 
  o Environmental Services 
  o Oil & Gas 
  o Other Energy 


5. Issuer Size
Revenue RangeAggregate Net Asset Value Range
o No Revenues o No Aggregate Net Asset Value
o $1 - $1,000,000 o $1 - $5,000,000
o $1,000,001 - $5,000,000 o $5,000,001 - $25,000,000
o $5,000,001 - $25,000,000 o $25,000,001 - $50,000,000
o $25,000,001 - $100,000,000 o $50,000,001 - $100,000,000
o Over $100,000,000 o Over $100,000,000
x Decline to Disclose o Decline to Disclose
o Not Applicable o Not Applicable


6. Federal Exemption(s) and Exclusion(s) Claimed (select all that apply)
o Rule 504(b)(1) (not (i), (ii) or (iii)) o Rule 505
o Rule 504 (b)(1)(i) x Rule 506(b)
o Rule 504 (b)(1)(ii) o Rule 506(c)
o Rule 504 (b)(1)(iii) o Securities Act Section 4(a)(5)
  o Investment Company Act Section 3(c)

7. Type of Filing
x New Notice Date of First Sale 2020-05-04 o First Sale Yet to Occur
o Amendment

8. Duration of Offering
Does the Issuer intend this offering to last more than one year? o Yes x No

9. Type(s) of Securities Offered (select all that apply)
o Pooled Investment Fund Interests o Equity
o Tenant-in-Common Securities o Debt
o Mineral Property Securities x Option, Warrant or Other Right to Acquire Another Security
x Security to be Acquired Upon Exercise of Option, Warrant or Other Right to Acquire Security o Other (describe)
  


10. Business Combination Transaction
Is this offering being made in connection with a business combination transaction, such as a merger, acquisition or exchange offer? o Yes x No
 
Clarification of Response (if Necessary) 
  

11. Minimum Investment
Minimum investment accepted from any outside investor$ 0 USD

12. Sales Compensation
RecipientRecipient CRD Number o None
 H.C. Wainwright & Co., LLC 375
(Associated) Broker or Dealer x None(Associated) Broker or Dealer CRD Number x None
    
Street Address 1Street Address 2
 430 PARK AVENUE 4TH FLOOR
City State/Province/CountryZIP/Postal Code
 NEW YORK NEW YORK 10022
State(s) of Solicitation o All States o Foreign/Non-US
 CALIFORNIA
 ILLINOIS
 NEW YORK
 TEXAS
 

 



13. Offering and Sales Amounts
Total Offering Amount $ 5000000 USD o Indefinite
Total Amount Sold $ 5000000 USD 
Total Remaining to be Sold $ 0 USD o Indefinite
 
Clarification of Response (if Necessary)
 The warrants and shares underlying the warrants, the subject matter of this Form D, were issued in connection with an offering of (i)16,291,952 shares issued in a registered direct offering, and (ii)unregistered warrants to purchase up to 8,145,976 shares


14. Investors
o Select if securities in the offering have been or may be sold to persons who do not qualify as accredited investors,
Number of such non-accredited investors who already have invested in the offering
 
  Regardless of whether securities in the offering have been or may be sold to persons who do not qualify as accredited investors, enter the total number of investors who already have invested in the offering: 4


15. Sales Commissions & Finders’ Fees Expenses
Provide separately the amounts of sales commissions and finders' fees expenses, if any. If the amount of an expenditure is not known, provide an estimate and check the box next to the amount.
Sales Commissions$ 350000 USD o Estimate
Finders' Fees$ 0 USD o Estimate
 
Clarification of Response (if Necessary)
 H.C. Wainwright is also entitled to a management fee equal to 1.0% of the gross proceeds raised in this offering and a non-accountable expense reimbursement of $75,000.


16. Use of Proceeds
Provide the amount of the gross proceeds of the offering that has been or is proposed to be used for payments to any of the persons required to be named as executive officers, directors or promoters in response to Item 3 above. If the amount is unknown, provide an estimate and check the box next to the amount.
 $ 0 USD o
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