- Amended Statement of Ownership (SC 13G/A)
February 10 2012 - 11:37AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D. C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 1)*
ON
TRACK INNOVATIONS LTD.
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(Name of
Issuer)
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Ordinary
Shares, par value NIS 0.1 per share
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(Title of
Class of Securities)
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M8791A109
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(CUSIP Number)
|
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December
31, 2011
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(Date of
Event Which Requires Filing of this Statement)
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Check the appropriate box to designate the rule pursuant to which
this Schedule is filed:
* 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 ("Act") or
otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act.
1
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NAME OF REPORTING PERSON
JACK SILVER
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)
¨
(b)
S
|
3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
UNITED STATES
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
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5
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SOLE VOTING POWER
1,723,000
|
6
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SHARED VOTING POWER
0
|
7
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SOLE DISPOSITIVE POWER
1,723,000
|
8
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SHARED DISPOSITIVE POWER
0
|
9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,723,000
|
10
|
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES
|
¨
|
11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
5.5%
|
12
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TYPE OF REPORTING PERSON
IN
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|
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1
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NAME OF REPORTING PERSON
sherleigh associates inc.
profit sharing plan
|
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
|
(a)
¨
(b)
S
|
3
|
SEC USE ONLY
|
4
|
CITIZENSHIP OR PLACE OF ORGANIZATION
UNITED STATES
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
5
|
SOLE VOTING POWER
1,723,000
|
6
|
SHARED VOTING POWER
0
|
7
|
SOLE DISPOSITIVE POWER
1,723,000
|
8
|
SHARED DISPOSITIVE POWER
0
|
9
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,723,000
|
10
|
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES
|
¨
|
11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
5.5%
|
12
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TYPE OF REPORTING PERSON
EP
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Item 1.
On Track Innovations Ltd.
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(b)
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Address of Issuer’s Principal Executive Offices:
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Z.H.R. Industrial Zone
P.O. Box 32
Rosh-Pina, Israel, 12000
Item 2.
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(a)
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Name of Person Filing:
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Jack Silver
Sherleigh Associates Inc. Profit Sharing Plan
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(b)
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Address of Principal Business Office or, if none, Residence:
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80 Columbus Circle PH76A
New York, NY 10023
United States
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(d)
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Title of Class of Securities:
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Ordinary Shares, par value NIS 0.1 per
share
M8791A109
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:
(a)
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£
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Broker or Dealer registered under Section 15 of the Act
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|
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(b)
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£
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Bank as defined in section 3(a)(6) of the Act
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(c)
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£
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Insurance Company as defined in section 3(a)(19) of the Act
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(d)
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£
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Investment Company registered under section 8 of the Investment Company Act
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(e)
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£
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Investment Adviser registered under section 203 of the Investment Advisers Act of 1940
|
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(f)
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£
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Employee Benefit Plan or endowment Fund in accordance with Rule 13d-1(b)(1)(ii)(F);
|
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(g)
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£
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Parent Holding Company, in accordance with Rule 13d-1(b)(ii)(G);
|
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(h)
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£
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A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act;
|
|
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(i)
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£
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A church plan that is excluded from the definition of an investement company under section 3(c)(14) of the Investement Company Act of 1940;
|
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(j)
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£
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Group, in accordance with Rule 13d-1(b)(1)(ii)(J).
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Item 4. Ownership.
(a) – (d)
As
of December 31, 2011, the Reporting Person beneficially owned 1,723,000 ordinary shares of On Track Innovations Ltd (the “Ordinary
Shares”) representing 5.5% of the outstanding ordinary shares,
based on 31,547,006 ordinary shares outstanding as
reported in the issuer’s Form 6-K for the period ended November 30, 2011
.
Such Ordinary Shares includes 1,723,000 shares held by Sherleigh Associates Profit Sharing Plan, a trust of which Jack Silver is
the trustee.
Mr. Silver has the sole voting and dispositive power
with respect to all 1,723,000 Ordinary Shares.
Item 5. Ownership of Five Percent or Less of a Class.
If this 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.
Item 9. Notice of Dissolution of Group.
Not applicable.
Item 10. Certification.
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 such purposes or effect, other than activities solely
in connection with a nomination under Rule 14a-11.
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.
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February 9, 2012
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Date
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/s/ Jack Silver
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Signature
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Jack Silver
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Name/Title
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Sherleigh Associates Inc. Profit Sharing Plan
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By:
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/s/ Jack Silver
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Name: Jack Silver
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Title: Trustee
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