Form SC 13G/A - Statement of acquisition of beneficial ownership by individuals: [Amend]
14 Februar 2024 - 10:05PM
Edgar (US Regulatory)
Securities and Exchange Commission
Washington, D.C. 20549
Schedule 13G
(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
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(Amendment No. 4)*
Fiverr International Ltd.
(Name of Issuer)
Ordinary Shares
(Title of Class of Securities)
M4R82T106
(CUSIP Number)
December 31, 2023
(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)
☐ 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 (“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).
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CUSIP No. M4R82T106
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Schedule 13G
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Page 3 of 5
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| ITEM 1. |
(a) |
Fiverr International Ltd. (the “Issuer”).
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(b) |
Address of Issuer’s Principal Executive Offices:
8 Eliezer Kaplan St, Tel Aviv 6473409, Israel.
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| ITEM 2. |
(a) |
Micha Kaufman is hereinafter referred to as the “Reporting Person.”
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(b) |
Address or Principal Business Office:
The business address of the Reporting Person is C/O Fiverr International Ltd. 8 Eliezer Kaplan St, Tel Aviv 6473409, Israel.
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(c) |
Citizenship of each Reporting Person is:
The Reporting Person is a citizen of Israel.
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(d) |
Title of Class of Securities:
Ordinary Shares, no par value (“Ordinary Shares”).
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(e) |
CUSIP Number:
M4R82T106
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ITEM 3.
Not applicable.
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CUSIP No. M4R82T106
|
Schedule 13G
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Page 4 of 5
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The ownership information below represents beneficial ownership of Ordinary Shares of the Issuer as of December 31, 2023, based upon 38,653,958 Ordinary Shares outstanding as of December 31, 2023, as provided by
the Issuer.
(a)-(c)
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Reporting Person
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Amount
beneficially
owned
|
|
|
Percent
of class:
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|
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Sole
power
to vote
or to
direct
the vote:
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Shared
power to
vote or to
direct the
vote:
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Sole
power to
dispose or
to direct
the
disposition
of:
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|
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Shared
power to
dispose or
to direct
the
disposition
of:
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|
Micha Kaufman
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|
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2,757,392
|
|
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7.0
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%
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2,757,392
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|
|
|
0
|
|
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2,757,392
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|
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|
0
|
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The Reporting Person has the sole power to vote and dispose of 2,757,392 Ordinary Shares, including 942,932 shares that the Reporting Person has the right to acquire within 60 days of December 31, 2023, pursuant to
the exercise of share options.
| 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.
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Not applicable.
| ITEM 7. |
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company.
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Not applicable.
| ITEM 8. |
Identification and Classification of Members of the Group.
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Not applicable.
| ITEM 9. |
Notice of Dissolution of Group.
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Not applicable.
Not applicable.
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CUSIP No. M4R82T106
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Schedule 13G
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Page 5 of 5
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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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/s/ Micha Kaufman
Micha Kaufman
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