[Form 4] ACTELIS NETWORKS INC Insider Trading Activity

Rhea-AI Filing Summary

Actelis Networks (ASNS) reported an insider equity grant. The Chief Technology Officer received 30,000 restricted stock units (RSUs) on September 21, 2025.

The RSUs vest in three equal annual tranches on September 21, 2026, September 21, 2027, and September 21, 2028, subject to continued service. According to the filing, if service ends earlier, unvested RSUs will vest at the termination date based on the upcoming annual anniversary amount, pro‑rated to the termination date.

The derivative security shows a $0 price (typical for RSUs). Following this grant, 30,000 derivative securities were reported as direct beneficial ownership.

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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:			3235-0287
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hours per response:			0.5

Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

1. Name and Address of Reporting Person^*

Domanovitz Elad

(Last) (First) (Middle)

4039 CLIPPER COURT

(Street)

FREMONT CA 94538

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
ACTELIS NETWORKS INC [ ASNS ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director		10% Owner
X	Officer (give title below)		Other (specify below)
	Chief Technology Officer

3. Date of Earliest Transaction (Month/Day/Year)
09/21/2025

4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Restricted Stock Units	(1)	09/21/2025		A		30,000		(1)	(1)	Common stock, par value $0.0001	30,000	$0	30,000	D

Explanation of Responses:

1. The RSUs vests annually in three equal tranches, with the first tranche vesting on September 21, 2026, the second tranche vesting on September 21, 2027, and the last tranche vesting on September 21, 2028, subject to the Reporting Person's continued service to the Issuer through each date that the options shall vest, unless the Reporting Person's engagement with the Issuer is terminated, in which case the unvested RSUs will vest at the termination date, based on the upcoming annual anniversary amount, pro-rated to the date of termination.

	/s/ Elad Domanovitz	11/06/2025
	** 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 4 (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

What did Actelis Networks (ASNS) disclose in this Form 4?

A grant of 30,000 RSUs to the Chief Technology Officer on September 21, 2025.

What is the vesting schedule for the 30,000 RSUs at ASNS?

They vest in three equal annual tranches on September 21, 2026, September 21, 2027, and September 21, 2028.

Is there an exercise price for these RSUs reported by ASNS?

The filing lists a $0 price for the derivative security, consistent with RSUs.

How many derivative securities are beneficially owned after the transaction?

The report shows 30,000 derivative securities beneficially owned directly.

What happens to unvested RSUs if the CTO’s service with ASNS ends?

Unvested RSUs will vest at termination based on the upcoming annual anniversary amount, pro‑rated to the termination date.

Who is the reporting person’s role at ASNS?

The reporting person is an Officer, serving as Chief Technology Officer.