UNITED
STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 5)*
CollPlant Biotechnologies
Ltd.
(Name of Issuer)
Ordinary Shares,
par value NIS 1.5 per share (including Ordinary Shares represented by American
Depositary Shares (ADSs) at a ratio of one Ordinary Share
per each ADS)
(Title of Class of Securities)
(CUSIP Number)
Lillian
S. Loewenbaum Grantor Retained Annuity Trust I
Lillian
S. Loewenbaum Grantor Retained Annuity Trust V
Lillian
S. Loewenbaum Grantor Retained Annuity Trust VI
The Waterproof Partnership, Ltd.
The Loewenbaum 1992 Trust
George Walter Loewenbaum
Elizabeth S. Loewenbaum
Lillian
S. Loewenbaum
c/o Lillian S. Loewenbaum
1000 Westbank Dr., Ste #2A
Austin, TX 78746
Copy
to:
Jason R. Schendel
Sheppard, Mullin, Richter & Hampton LLP
Four Embarcadero Center
Embarcadero Ctr., 17th Floor
San Francisco, CA 94111
(650) 815-2600
|
(Name, Address and Telephone Number of Person
Authorized to Receive Notices and Communications) |
|
(Date of Event which Requires Filing of this
Statement)
Check the appropriate box to designate the rule pursuant to which
this Schedule is filed:
¨ Rule 13d-1(b)
x Rule 13d-1(c)
¨ Rule 13d-1(d) |
___________
*The
remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject
class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover
page.
The information required in 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 (the “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. 19516R107 |
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Page 2
of 16 |
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1. |
Name
of Reporting Person: George Walter Loewenbaum |
2. |
Check the Appropriate Box if a Member of a Group |
(a) ¨
(b) x |
3. |
SEC
Use Only |
4. |
Citizenship
or Place of Organization: United States of America |
NUMBER
OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH |
5. |
Sole
Voting Power: 1,054,486 Ordinary Shares(1) |
6. |
Shared
Voting Power: 0 |
7. |
Sole
Dispositive Power: 1,054,486 Ordinary Shares(1) |
8. |
Shared
Dispositive Power: 0 |
9. |
Aggregate
Amount Beneficially Owned by Each Reporting Person: 1,054,486 Ordinary Shares(1) |
10. |
Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) |
¨ |
11. |
Percent
of Class Represented by Amount in Row (9): 9.21%(2) |
12. |
Type
of Reporting Person (See Instructions): IN |
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(1) Consists of (a) 60,794 shares of the Issuer’s
ordinary shares underlying American Depository Shares (“ADSs”) held by the Walter Loewenbaum Trust, (b) 121,149 ordinary
shares underlying ADSs held by the Reporting Person directly, and (c) 872,543 ordinary shares underlying ADSs held by the Reporting
Person in an IRA.
(2) Based on 11,452,672 ordinary shares of the Issuer issued
and outstanding as of September 30, 2023 (which number was set forth in the Report of Foreign Private Issuer on Form 6-K filed
by the Issuer with the SEC on November 29, 2023).
CUSIP
No. 19516R107 |
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Page
3 of 16 |
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1. |
Name
of Reporting Person: Lillian S. Loewenbaum |
2. |
Check the Appropriate Box if a Member of a Group |
(a) ¨
(b) x |
3. |
SEC
Use Only |
4. |
Citizenship
or Place of Organization: United States of America |
NUMBER
OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH |
5. |
Sole
Voting Power: 69,051 Ordinary Shares(1) |
6. |
Shared
Voting Power: 0 |
7. |
Sole
Dispositive Power: 69,051 Ordinary Shares(1) |
8. |
Shared
Dispositive Power: 0 |
9. |
Aggregate
Amount Beneficially Owned by Each Reporting Person: 69,051 Ordinary Shares(1) |
10. |
Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) |
¨ |
11. |
Percent
of Class Represented by Amount in Row (9): 0.60%(2) |
12. |
Type
of Reporting Person (See Instructions): IN |
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(1) Consists of (a) 10,000 shares of the Issuer’s
ordinary shares underlying ADSs held in the Lillian Shaw Loewenbaum Trust, and (b) 59,051 shares of the Issuer’s ordinary
shares underlying ADSs held by the Reporting Person directly.
(2) Based on 11,452,672 ordinary shares of the Issuer issued
and outstanding as of September 30, 2023 (which number was set forth in the Report of Foreign Private Issuer on Form 6-K filed
by the Issuer with the SEC on November 29, 2023).
CUSIP
No. 19516R107 |
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Page 4 of 16 |
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1. |
Name
of Reporting Person: Elizabeth S. Loewenbaum |
2. |
Check the Appropriate Box if a Member of a Group |
(a) ¨
(b) x |
3. |
SEC
Use Only |
4. |
Citizenship
or Place of Organization: United States of America |
NUMBER
OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH |
5. |
Sole
Voting Power: 20,688 Ordinary Shares |
6. |
Shared
Voting Power: 0 |
7. |
Sole
Dispositive Power: 20,688 Ordinary Shares |
8. |
Shared
Dispositive Power: 0 |
9. |
Aggregate
Amount Beneficially Owned by Each Reporting Person: 20,688 Ordinary Shares |
10. |
Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) |
¨ |
11. |
Percent
of Class Represented by Amount in Row (9): 0.18%(1) |
12. |
Type
of Reporting Person (See Instructions): IN |
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(1) Based on 11,452,672 ordinary shares of the Issuer issued
and outstanding as of September 30, 2023 (which number was set forth in the Report of Foreign Private Issuer on Form 6-K filed
by the Issuer with the SEC on November 29, 2023).
CUSIP
No. 19516R107 |
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Page
5 of 16 |
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1. |
Name
of Reporting Person: Lillian S. Loewenbaum Grantor Retained Annuity Trust I |
2. |
Check the Appropriate Box if a Member of a Group |
(a) ¨
(b) x |
3. |
SEC
Use Only |
4. |
Citizenship
or Place of Organization: Texas |
NUMBER
OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH |
5. |
Sole
Voting Power: 22,805 Ordinary Shares |
6. |
Shared
Voting Power: 0 |
7. |
Sole
Dispositive Power: 22,805 Ordinary Shares |
8. |
Shared
Dispositive Power: 0 |
9. |
Aggregate
Amount Beneficially Owned by Each Reporting Person: 22,805 Ordinary Shares |
10. |
Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) |
¨ |
11. |
Percent
of Class Represented by Amount in Row (9): 0.20%(1) |
12. |
Type
of Reporting Person (See Instructions): OO |
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(1) Based on 11,452,672 ordinary shares of the Issuer issued
and outstanding as of September 30, 2023 (which number was set forth in the Report of Foreign Private Issuer on Form 6-K filed
by the Issuer with the SEC on November 29, 2023).
CUSIP
No. 19516R107 |
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Page 6 of 16 |
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1. |
Name
of Reporting Person: Lillian S. Loewenbaum Grantor Retained Annuity Trust V |
2. |
Check the Appropriate Box if a Member of a Group |
(a) ¨
(b) x |
3. |
SEC
Use Only |
4. |
Citizenship
or Place of Organization: Texas |
NUMBER
OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH |
5. |
Sole
Voting Power: 10,360 Ordinary Shares |
6. |
Shared
Voting Power: 0 |
7. |
Sole
Dispositive Power: 10,360 Ordinary Shares |
8. |
Shared
Dispositive Power: 0 |
9. |
Aggregate
Amount Beneficially Owned by Each Reporting Person: 10,360 Ordinary Shares |
10. |
Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) |
¨ |
11. |
Percent
of Class Represented by Amount in Row (9): 0.09%(1) |
12. |
Type
of Reporting Person (See Instructions): OO |
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(1) Based on 11,452,672 ordinary shares of the Issuer issued
and outstanding as of September 30, 2023 (which number was set forth in the Report of Foreign Private Issuer on Form 6-K filed
by the Issuer with the SEC on November 29, 2023).
CUSIP
No. 19516R107 |
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Page 7 of 16 |
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1. |
Name
of Reporting Person: Lillian S. Loewenbaum Grantor Retained Annuity Trust VI |
2. |
Check the Appropriate Box if a Member of a Group |
(a) ¨
(b) x |
3. |
SEC
Use Only |
4. |
Citizenship
or Place of Organization: Texas |
NUMBER
OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH |
5. |
Sole
Voting Power: 16,195 Ordinary Shares |
6. |
Shared
Voting Power: 0 |
7. |
Sole
Dispositive Power: 16,195 Ordinary Shares |
8. |
Shared
Dispositive Power: 0 |
9. |
Aggregate
Amount Beneficially Owned by Each Reporting Person: 16,195 Ordinary Shares |
10. |
Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) |
¨ |
11. |
Percent
of Class Represented by Amount in Row (9): 0.14%(1) |
12. |
Type
of Reporting Person (See Instructions): OO |
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(1) Based on 11,452,672 ordinary shares of the Issuer issued
and outstanding as of September 30, 2023 (which number was set forth in the Report of Foreign Private Issuer on Form 6-K filed
by the Issuer with the SEC on November 29, 2023).
CUSIP
No. 19516R107 |
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Page 8 of 16 |
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1. |
Name
of Reporting Person: The Loewenbaum 1992 Trust |
2. |
Check the Appropriate Box if a Member of a Group |
(a) ¨
(b) x |
3. |
SEC
Use Only |
4. |
Citizenship
or Place of Organization: Texas |
NUMBER
OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH |
5. |
Sole
Voting Power: 56,030 Ordinary Shares |
6. |
Shared
Voting Power: 0 |
7. |
Sole
Dispositive Power: 56,030 Ordinary Shares |
8. |
Shared
Dispositive Power: 0 |
9. |
Aggregate
Amount Beneficially Owned by Each Reporting Person: 56,030 Ordinary Shares |
10. |
Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) |
¨ |
11. |
Percent
of Class Represented by Amount in Row (9): 0.49%(1) |
12. |
Type
of Reporting Person (See Instructions): OO |
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(1) Based on 11,452,672 ordinary shares of the Issuer issued
and outstanding as of September 30, 2023 (which number was set forth in the Report of Foreign Private Issuer on Form 6-K filed
by the Issuer with the SEC on November 29, 2023).
CUSIP
No. 19516R107 |
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Page 9 of 16 |
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1. |
Name
of Reporting Person: The Waterproof Partnership, Ltd. |
2. |
Check the Appropriate Box if a Member of a Group |
(a) ¨
(b) x |
3. |
SEC
Use Only |
4. |
Citizenship
or Place of Organization: Texas |
NUMBER
OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH |
5. |
Sole
Voting Power: 31,207 Ordinary Shares |
6. |
Shared
Voting Power: 0 |
7. |
Sole
Dispositive Power: 31,207 Ordinary Shares |
8. |
Shared
Dispositive Power: 0 |
9. |
Aggregate
Amount Beneficially Owned by Each Reporting Person: 31,207 Ordinary Shares |
10. |
Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) |
¨ |
11. |
Percent
of Class Represented by Amount in Row (9): 0.27%(1) |
12. |
Type
of Reporting Person (See Instructions): OO |
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(1) Based on 11,452,672 ordinary shares of the Issuer issued
and outstanding as of September 30, 2023 (which number was set forth in the Report of Foreign Private Issuer on Form 6-K filed
by the Issuer with the SEC on November 29, 2023).
CUSIP
No. 19516R107 |
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Page
10 of 16 |
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Item 1(a). | Name of Issuer: |
CollPlant Biotechnologies Ltd. (the “Issuer”)
| Item 1(b). | Address of Issuer’s Principal Executive Offices: |
4 Oppenheimer St, Weizmann Science Park
Rehovot 7670104, Israel
| Item 2(a). | Name of Person(s) Filing: |
This statement is filed by the individuals and
entities listed below, all of whom together are referred to herein as the “Reporting Persons”.
(i) George Walter Loewenbaum, an individual
(ii) Lillian S. Loewenbaum, an individual
(iii) Elizabeth Loewenbaum, an individual
(iv) Lillian
S. Loewenbaum Grantor Retained Annuity Trust I, a Texas trust,
(v)
Lillian S. Loewenbaum Grantor Retained Annuity Trust V, a Texas trust,
(vi)
Lillian S. Loewenbaum Grantor Retained Annuity Trust VI, a Texas trust,
(vii) The
Loewenbaum 1992 Trust, a Texas trust, and
(viii) The Waterproof Partnership, Ltd., a Texas
partnership.
| Item 2(b). | Address of Principal Business Office or, if none, Residence: |
The address of the principal business office of each Reporting
Person is 1000 Westbank Dr, Ste #2A, Austin, TX 78746.
See Item 4 of each cover page.
| Item 2(d). | Title of Class of Securities: |
See the cover page of this filing.
19516R107.
| Item 3. | If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing
is a: |
Not applicable.
CUSIP
No. 19516R107 |
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Page
11 of 16 |
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Item 4. Ownership.
(a) Amount
beneficially owned:
See Item 9 of each cover page.
See Item 11 of each cover page.
| (c) | Number of shares as to which the person has: |
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(i) |
Sole power to vote or to direct the vote: |
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See Item 5 of each cover page. |
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(ii) |
Shared power to vote or to direct the vote: |
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See Item 6 of each cover page. |
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(iii) |
Sole power to dispose or to direct the disposition of: |
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See Item 7 of each cover page. |
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(iv) |
Shared power to dispose or to direct the disposition of: |
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See Item 8 of each cover page. |
Item 5. |
Ownership of Five Percent or Less of a Class. |
If the statement is being filed to report the fact that as
of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check
the following ¨.
Item 6. |
Ownership of More than Five Percent on Behalf of Another Person. |
Not applicable.
Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding
Company
or Control Person. |
Not applicable.
Item 8. |
Identification and Classification of Members of the Group. |
Not applicable.
CUSIP
No. 19516R107 |
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Page 12 of 16 |
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Item 9. | Notice of Dissolution of Group. |
Not applicable.
By signing below I certify that, to the best of my knowledge and belief,
the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the
control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction
having that purpose or effect, other than activities solely in connection with a nomination under § 240.14a-11.
CUSIP
No. 19516R107 |
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Page
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SIGNATURES
After reasonable inquiry and
to the best of my knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and
correct.
Dated: January 25, 2024 |
Name: |
/s/ George Walter Loewenbaum |
Dated: January 25, 2024 |
Name: |
/s/ Lillian S. Loewenbaum |
Dated: January 25, 2024 |
Name: |
/s/ Elizabeth Loewenbaum |
Dated: January 25, 2024 |
Lillian S. Loewenbaum Grantor Retained Annuity Trust I |
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By: |
/s/ George Walter Loewenbaum |
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Name: |
George Walter Loewenbaum |
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Title: |
Trustee |
Dated: January 25, 2024 |
Lillian S. Loewenbaum Grantor Retained Annuity Trust V |
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By: |
/s/ George Walter Loewenbaum |
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Name: |
George Walter Loewenbaum |
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Title: |
Trustee |
Dated: January 25, 2024 |
Lillian S. Loewenbaum Grantor Retained Annuity Trust VI |
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By: |
/s/ George Walter Loewenbaum |
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Name: |
George Walter Loewenbaum |
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Title: |
Trustee |
Dated: January 25, 2024 |
The Waterproof Partnership, Ltd. |
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By: |
/s/ George Walter Loewenbaum |
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Name: |
George Walter Loewenbaum |
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Title: |
General Partner |
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By: |
/s/ Lillian S. Loewenbaum |
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Name: |
Lillian S. Loewenbaum |
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Title: |
General Partner |
Dated: January 25, 2024 |
The Loewenbaum 1992 Trust |
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By: |
/s/ George Walter Loewenbaum |
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Name: |
George Walter Loewenbaum |
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Title: |
Trustee |
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By: |
/s/ Lillian S. Loewenbaum |
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Name: |
Lillian S. Loewenbaum |
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Title: |
Trustee |
CUSIP
No. 19516R107 |
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Page 14 of 16 |
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EXHIBIT INDEX
Exhibit
Exhibit A: Joint
Filing Agreement.
CUSIP
No. 19516R107 |
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Page 15 of 16 |
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EXHIBIT A
JOINT FILING AGREEMENT
In accordance with Rule 13d-1(k) under the Securities Exchange
Act of 1934, as amended, the undersigned agree to the joint filing on behalf of each of them of a Statement on Schedule 13G (including
any and all amendments thereto) with respect to the Ordinary Shares, par value NIS 1.5 per share (including Ordinary Shares represented
by American Depositary Shares (ADSs) at a ratio of one Ordinary Share per ADS, of CollPlant Biotechnologies Ltd., and further agree that
this Joint Filing Agreement shall be included as an Exhibit to such joint filings.
The undersigned further agree that each party hereto is responsible
for the timely filing of such Statement on Schedule 13G and any amendments thereto, and for the accuracy and completeness of the information
concerning such party contained therein; provided, however, that no party is responsible for the accuracy or completeness of the information
concerning any other party, unless such party knows or has reason to believe that such information is inaccurate.
This Joint Filing Agreement may be signed in counterparts with the
same effect as if the signature on each counterpart were upon the same instrument.
IN WITNESS WHEREOF, the undersigned have executed
this Agreement as of January 25, 2024.
Dated: January 25, 2024 |
Name: |
/s/ George Walter Loewenbaum |
Dated: January 25, 2024 |
Name: |
/s/ Lillian S. Loewenbaum |
Dated: January 25, 2024 |
Name: |
/s/ Elizabeth Loewenbaum |
Dated: January 25, 2024 |
Lillian S. Loewenbaum Grantor Retained Annuity Trust I |
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By: |
/s/ George Walter Loewenbaum |
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Name: |
George Walter Loewenbaum |
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Title: |
Trustee |
Dated: January 25, 2024 |
Lillian S. Loewenbaum Grantor Retained Annuity Trust V |
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By: |
/s/ George Walter Loewenbaum |
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Name: |
George Walter Loewenbaum |
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Title: |
Trustee |
Dated: January 25, 2024 |
Lillian S. Loewenbaum Grantor Retained Annuity Trust VI |
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By: |
/s/ George Walter Loewenbaum |
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Name: |
George Walter Loewenbaum |
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Title: |
Trustee |
CUSIP
No. 19516R107 |
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Page
16 of 16 |
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Dated: January 25, 2024 |
The Waterproof Partnership, Ltd. |
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By: |
/s/ George Walter Loewenbaum |
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Name: |
George Walter Loewenbaum |
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Title: |
General Partner |
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By: |
/s/ Lillian S. Loewenbaum |
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Name: |
Lillian S. Loewenbaum |
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Title: |
General Partner |
Dated: January 25, 2024 |
The Loewenbaum 1992 Trust |
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By: |
/s/ George Walter Loewenbaum |
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Name: |
George Walter Loewenbaum |
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Title: |
Trustee |
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By: |
/s/ Lillian S. Loewenbaum |
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Name: |
Lillian S. Loewenbaum |
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Title: |
Trustee |
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