UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

 


 

Form 6-K

 


 

REPORT OF FOREIGN PRIVATE ISSUER

PURSUANT TO RULE 13a-16 OR 15d-16 UNDER

THE SECURITIES EXCHANGE ACT OF 1934

 

For the month of February 2018

 

Commission File Number 001-38370

 


 

CollPlant Holdings Ltd.

(Exact name of registrant as specified in its charter)

 


 

3 Sapir Street, Weizmann Science Park

Ness Ziona 74140, Israel

(Address of principal executive office)

 

Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.

 

Form 20-F x    Form 40-F o

 

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulations S-T Rule 101(b)(1): o

 

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulations S-T Rule 101(b)(7): o

 

 

 



 

On February 1, 2018, Collplant Holdings Ltd. (the “Company”) published an immediate report in Hebrew with the Israel Securities Authority and the Tel Aviv Stock Exchange in connection with changes in outstanding securities of the Company.

 

Below is a summary translation into English of the immediate report:

 

Substance of changes: Grant of options to employees and conversion of convertible debentures into pre-funded warrant

 

Number of securities of the Company following changes as of February 1, 2018:

 

 

 

Stock

 

 

 

Issued and Outstanding Securities

 

 

 

Type of
Securities

 

Exchange
Number

 

Authorized Amount

 

Amount Last
Reported

 

Current Amount

 

Amount Registered by the
Registration Company

 

Ordinary Shares, par value NIS 0.03 per share

 

496018

 

500,000,000

 

172,081,129

(1)

172,081,129

(1)

171,160,627

 

Options 2010 (Employee Options)(2)

 

4960068

 

 

47,244,792

 

47,544,792

 

0

 

Series G Warrants

 

4960134

 

 

9,296,284

 

9,296,284

 

9,296,284

 

Series H Warrants

 

4960142

 

 

4,152,764

 

4,152,764

 

4,152,764

 

Series I Warrants

 

4960159

 

 

13,745,025

 

13,745,025

 

13,745,025

 

Series K Warrants

 

4960175

 

 

36,531,500

 

36,531,500

 

36,531,500

 

Convertible Debenture No.1(3)

 

4960191

 

 

16,021,371

 

0

 

0

 

Convertible Debenture No.2(3)

 

4960209

 

 

23,301,371

 

0

 

0

 

Prepaid Warrants(4)

 

 

 

 

 

0

 

39,322,742

 

0

 

 


(1)        Includes  920,461 ordinary shares held in treasury.

(2)          Increase in the number of options by 300,000 options due to options issued to employees.

(3)          Decrease in the amount of Convertible Debenture Nos.1 and 2, due to an automatic conversion into Pre-Funded Warrants.

(4)          The referenced amount is the amount of ordinary shares into which the Pre-Funded Warrant can be converted and is identical to the aggregate amount of ordinary shares into which Convertible Debenture Nos 1 and 2 can be converted.

 

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SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 

 

COLLPLANT HOLDINGS LTD.

 

 

 

 

 

Date: February 1, 2018

By:

/s/ ERAN ROTEM

 

 

Name: Eran Rotem

 

 

Title: Deputy CEO and Chief Financial Officer

 

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