Sec Form 3 Filing - Kempel Doron @ TG-17, Inc. - 2026-02-04

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
Kempel Doron
2. Issuer Name and Ticker or Trading Symbol
TG-17, Inc. [ OBAI]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Executive Officer
(Last) (First) (Middle)
85 BROAD STREET
3. Date of Earliest Transaction (MM/DD/YY)
02/04/2026
(Street)
NEW YORK, NY10004
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
Common Stock 165,780 D
Common Stock 2,503,431 I These shares are owned by VFTG, L.P., over which Mr. Kempel has sole voting and investment control.
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
Series B-1 Convertible Preferred Stock $ 0.4875 11/17/2023 ( 2 ) Common Stock 3,114,460 I These shares are owned by VFTG, L.P., over which Mr. Kempel has sole voting and investment control.
Series B-3 Convertible Preferred Stock $ 0.4875 11/17/2023 ( 2 ) Common Stock 28,964 D
Series B-3 Convertible Preferred Stock $ 0.4875 11/17/2023 ( 2 ) Common Stock 389,457 I These shares are owned by VFTG, L.P., over which Mr. Kempel has sole voting and investment control.
Series F Convertible Preferred Stock ( 1 ) 06/19/2025 ( 2 ) Common Stock 10,000 D
Equity Option Award $ 0.4203 08/17/2022 05/29/2034 Common Stock 1,545,472 D
Equity Option Award $ 0.4203 02/01/2024 05/29/2034 Common Stock 1,545,472 D
Equity Option Award $ 1.17 08/17/2026 06/28/2035 Common Stock 1,094,320 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Kempel Doron
85 BROAD STREET
NEW YORK, NY10004
X X Chief Executive Officer
Signatures
/s/ Doron Kempel 02/12/2026
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Each share of Series F Preferred Stock convertible into one (1) share of Common Stock, without the payment of any additional consideration.
( 2 )This series of Preferred Stock does not have an expiration 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).

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