Sec Form 3 Filing - Siboni Haim @ Foresight Autonomous Holdings Ltd. - 2026-03-18

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Siboni Haim
2. Issuer Name and Ticker or Trading Symbol
Foresight Autonomous Holdings Ltd. [ FRSX]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Executive Officer
(Last) (First) (Middle)
C/O FORESIGHT AUTONOMOUS, 7 GOLDA MEIR ISRAEL
3. Date of Earliest Transaction (MM/DD/YY)
03/18/2026
(Street)
NESS ZIONA7414001
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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
Ordinary Shares 4,974,398 I See Footnote ( 1 )
Ordinary Shares 1,285,714 ( 2 ) D
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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
Stock Options (Right to buy) $ 1.12 ( 4 ) ( 5 ) 05/04/2026 Ordinary Shares ( 3 ) 285,714 D
Stock Options (Right to buy) $ 1.12 ( 6 ) ( 7 ) 07/16/2027 Ordinary Shares 587,571 D
Stock Options (Right to buy) $ 1.12 ( 8 ) ( 9 ) 10/20/2029 Ordinary Shares 571,429 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Siboni Haim
C/O FORESIGHT AUTONOMOUS
7 GOLDA MEIR ISRAEL
NESS ZIONA7414001
X Chief Executive Officer
Signatures
/s/ Haim Siboni 03/31/2026
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Mr. Siboni indirectly owns 100% of Magna BSP Ltd. ("Magna BSP") and may be deemed to beneficially own securities owned by Magna BSP. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein
( 2 )Includes 642,857 ordinary shares, no par value per share, of the Issuer (the "Ordinary Shares") issuable upon the vesting of restricted share units ("RSUs") through July 1, 2027. Each RSU represents the right to receive one Ordinary Share.
( 3 )The Issuer's securities are listed as American Depository Shares ("ADS"), where one ADS represents 90 Ordinary Shares. Each ADS is convertible at any time, at the holder's election. The ADSs have no expiration date.
( 4 )The options were granted with an exercise price of NIS 3.50 and have been converted based on the ratio of 3.119 as of March 16, 2026.
( 5 )The options were granted on May 4, 2017 and fully vested as of January 1, 2020.
( 6 )The options were granted with an exercise price of NIS 3.50 and have been converted based on the ratio of 3.119 as of March 16, 2026.
( 7 )The options were granted on July 16, 2020 and fully vested as of December 31, 2022.
( 8 )The options were granted with an exercise price of NIS 3.50 and have been converted based on the ratio of 3.119 as of March 16, 2026.
( 9 )The options were granted on October 20, 2022 and fully vested as of December 31, 2025.

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).

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