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[Form 3] Actelis Networks, Inc. Initial Statement of Beneficial Ownership

Filing Impact
(Low)
Filing Sentiment
(Neutral)
Form Type
3
Rhea-AI Filing Summary

Mark DeVol filed an initial Form 3 for Actelis Networks, Inc. (ASNS) dated 08/27/2025. He is listed as a Director and Officer (CRO, Americas) of the company. The filing explicitly states that no securities are beneficially owned by the reporting person as of the reporting date.

Positive
  • None.
Negative
  • None.
SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
DeVol Mark

(Last) (First) (Middle)
4039 CLIPPER COURT

(Street)
FREMONT CA 94538

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/27/2025
3. Issuer Name and Ticker or Trading Symbol
ACTELIS NETWORKS INC [ ASNS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
CRO, Americas
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
No securities are beneficially owned.
/s/ Mark DeVol 08/27/2025
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

FAQ

Who filed the Form 3 for ASNS?

The Form 3 was filed by Mark DeVol, identified as a Director and CRO, Americas.

What date is shown on the Form 3 for ASNS?

The event requiring the statement is dated 08/27/2025.

Does the Form 3 report any securities owned by the reporting person?

No. The filing states no securities are beneficially owned by the reporting person.

What issuer and ticker are referenced in the Form 3?

The issuer is Actelis Networks, Inc. with ticker ASNS.
Actelis Networks, Inc.

NASDAQ:ASNS

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Communication Equipment
Communications Equipment, Nec
Link
United States
FREMONT