SEC FORM 3 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
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1. Name and Address of Reporting Person*
SASSINE ANDY

(Last) (First) (Middle)
C/O ARCTURUS THERAPEUTICS LTD.
10628 SCIENCE CENTER DRIVE, SUITE 250

(Street)
SAN DIEGO CA 92121

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/01/2019
3. Issuer Name and Ticker or Trading Symbol
Arcturus Therapeutics Ltd. [ ARCT ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
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)
Ordinary Shares 237,596(1) D
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
STOCK OPTION (right to purchase)(1) (2) 08/23/2028 Ordinary Shares 3,750 8 D
STOCK OPTION (right to purchase)(1)(3) (3) 08/23/2028 Ordinary Shares 10,000 8 D
STOCK OPTION (right to purchase)(1) 08/24/2018 08/23/2028 Ordinary Shares 2,500 8 D
STOCK OPTION (right to purchase)(1)(3) (3) 08/23/2028 Ordinary Shares 20,000 8 D
STOCK OPTION (right to purchase)(1)(4) (4) 12/31/2028 Ordinary Shares 100,000 4.53 D
Explanation of Responses:
1. The Reporting Person is filing this form in connection with the Issuer's transition from reporting as a foreign private issuer to reporting as a domestic issuer, effective January 1, 2019.
2. Fully vested as of December 31, 2018.
3. Vesting monthly over a one year period from August 24, 2018.
4. Options to purchase 25,000 shares vest one year from the date of grant and the remainder vests in equal monthly installments over the three year period thereafter.
/s/ Andy Sassine 01/02/2019
** 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).
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