Form SC 13G/A - Statement of Beneficial Ownership by Certain Investors: [Amend]
November 29 2024 - 12:20PM
Edgar (US Regulatory)
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G/A
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILED
PURSUANT
TO § 240.13d-1(b), (c) AND (d) AND AMENDMENTS
THERETO FILED
PURSUANT TO § 240.13d-2
(Amendment No. 1)*
PolyPid Ltd.
(Name of Issuer)
Ordinary Shares, no par
value
(Title of Class of Securities)
M8001Q126
(CUSIP Number)
Yehuda Nir
14 Moshe Lerer St., Ness
Ziona, Israel, 7404981
(Name, Address and Telephone Number of Person
Authorized to Receive Notices and Communications)
September 30, 2024
(Date of Event which Requires Filing of this Statement)
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 disclosures provided in a prior cover page. |
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 (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. M8001Q126 |
13G |
Page 2 of 5 Pages |
1. |
NAMES OF REPORTING PERSON
Yehuda Nir |
2. |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(See Instructions)
(a) ☐
(b) ☐ |
3. |
SEC USE ONLY
|
4. |
CITIZENSHIP OR PLACE OF ORGANIZATION
Israel |
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH |
5. |
SOLE VOTING POWER
1,008,656 (1) |
6. |
SHARED VOTING POWER
0 |
7. |
SOLE DISPOSITIVE POWER
1,008,656 (1) |
8. |
SHARED DISPOSITIVE POWER
0 |
9. |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,008,656 (1) |
10. |
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
(see instructions)
☐ |
11. |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
13.9% (2) |
12. |
TYPE OF REPORTING PERSON (see instructions)
IN |
(1) | Includes 457,351 ordinary shares of the Issuer underlying currently
exercisable warrants held by the Reporting Person. |
(2) | Percentage is based on 6,803,478 ordinary shares of the Issuer that
were outstanding as of August 27, 2024 (as well as 457,351 additional ordinary shares of the Issuer underlying warrants held by the Reporting
Person), based on information contained in the Issuer’s Registration Statement on Form F-3 for, filed with the SEC on August 30,
2024. |
CUSIP No. M8001Q126 |
13G |
Page 3 of 5 Pages |
Item 1.
(a) |
Name of Issuer
PolyPid Ltd. (the “Issuer”) |
|
|
(b) |
Address of Issuer’s Principal Executive Offices
18 Hasivim Street
Petach Tikva 495376, Israel |
Item 2.
(a)
(b) |
Name of Person Filing
Yehuda Nir
Address of Principal Business Office or, if None, Residence:
14 Moshe Lerer St., Ness Ziona, Israel, 7404981 |
|
|
(c) |
Citizenship:
The Reporting Person is a citizen of the State of Israel. |
|
|
(d) |
Title of Class of Securities
Ordinary shares, no par value per share (“Ordinary Shares”). |
|
|
(e) |
CUSIP Number
M8001Q126 |
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) |
☐ |
Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o). |
|
|
|
(b) |
☐ |
Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c). |
|
|
|
(c) |
☐ |
Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c). |
|
|
|
(d) |
☐ |
Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8). |
|
|
|
(e) |
☐ |
An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E); |
|
|
|
(f) |
☐ |
An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F); |
|
|
|
(g) |
☐ |
A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G); |
|
|
|
(h) |
☐ |
A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); |
|
|
|
(i) |
☐ |
A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); |
|
|
|
(j) |
☐ |
A non-U.S. institution in accordance with § 240.13d–1(b)(1)(ii)(J); |
|
|
|
(k) |
☐ |
Group, in accordance with §240.13d-1(b)(1)(ii)(K). |
If filing as a non-U.S.
institution in accordance with § 240.13d–1(b)(1)(ii)(J), please specify the type of institution: ________
Not applicable.
CUSIP No. M8001Q126 |
13G |
Page 4 of 5 Pages |
Item 4. Ownership.
(a) (b) Number and percentage of Issuer
Ordinary Shares beneficially owned by each Reporting Person:
Reporting Person | |
Number of Ordinary Shares | | |
Percentage of Class | |
Yehuda Nir | |
| 1,008,656 | | |
| 13.9 | % |
(a) |
Number of shares as to which the Reporting Person has: |
|
|
|
|
(i) |
Sole power to vote or to direct the vote: 1,008,656
|
|
(ii) |
Shared power to vote or to direct the vote: 0 |
|
|
|
|
(iii) |
Sole power to dispose or to direct the disposition of: 1,008,656 |
|
|
|
|
(iv) |
Shared power to dispose or to direct the disposition of: 0 |
Based on the Registration Statement on Form F-3 filed by the Issuer
on August 30, 2024, there were 6,803,478 Ordinary Shares issued and outstanding as of August 27, 2024.
Item 5. Ownership of Five Percent or Less of a Class.
Not applicable.
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.
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 or 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. M8001Q126 |
13G |
Page 5 of 5 Pages |
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.
|
Yehuda Nir |
|
|
|
By: |
/s/ Yehuda Nir |
|
Date: |
November 28, 2024 |
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