Sec Form 13G Filing - Kaufman Micha filing for FIVERR INTL LTD (FVRR) - 2021-02-12

Insider filing report for Changes in Beneficial Ownership

  • Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
  • Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
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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. 1)*

Fiverr International Ltd.
(Name of Issuer)

Ordinary Shares
(Title of Class of Securities)

M4R82T106
(CUSIP Number)
 
December 31, 2020
(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).
 

1
NAMES OF REPORTING PERSONS
 
 

Micha Kaufman
 
 
 
 
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
    
(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
 
 
 
2,123,438
 
 
 
 
6
SHARED VOTING POWER
 
 

0
0;
 
 
 
7
SOLE DISPOSITIVE POWER
 
 
 
2,123,438
 
 
 
 
8
SHARED DISPOSITIVE POWER
 
 

0
 
 
 
 
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
 
 
2,123,438
 
 
 
 
10
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
 
 

☐
 
 
 
 
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
 

6.0%
 
 
 
 
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
 
 

IN
 
 
 
 

ITEM 1.  (a)
Name of Issuer:

Fiverr International Ltd. (the “Issuer”).


(b)
Address of Issuer’s Principal Executive Offices:

8 Eliezer Kaplan St, Tel Aviv 6473409, Israel.

ITEM 2.  (a)
Name of Issuer:

Micha Kaufman is hereinafter referred to as the “Reporting Person.”


(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.
 

 (c)
Citizenship of each Reporting Person is:

The Reporting Person is a citizen of Israel.


(d)
Title of Class of Securities:

Ordinary Shares, no par value (“Ordinary Shares”).


(e)
CUSIP Number:

M4R82T106

ITEM 3.
 
Not applicable.
 
ITEM 4.
Ownership.
 
The ownership information below represents beneficial ownership of Ordinary Shares of the Issuer as of December 31, 2020, based upon 35,117,237 Ordinary Shares outstanding as of July 14, 2020.
 
(a)-(c)

Reporting Person
  
Amount
beneficially
owned
    
Percent
of class:
    
Sole
power
to vote
or to
direct
the vote:
  
Shared
power to
vote or to
direct the
vote:
  
Sole
power to
dispose or
to direct
the
disposition
of:
  
Shared
power to
dispose or
to direct
the
disposition
of:
Micha Kaufman
    
2,123,438
      
6.0
%
    
2,123,438
        
2,123,438
    

Micha Kaufman has the sole power to vote and dispose of 2,123,438 Ordinary Shares, including 308,978 shares that Mr. Kaufman has the right to acquire within 60 days of December 31, 2020 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.
 
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.
 
Not applicable.


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.

Date:     February 12, 2021

 
/s/ Micha Kaufman          
Micha Kaufman