SCHEDULE 13G/A
0001968076-24-000017
0001968076
XXXXXXXX
LIVE
6
Common Stock, no par value per share and Warrants to Purchase Ordinary Shares
12/18/2024
0001872964
Maris Tech Ltd.
M68057104
2 YITZHAK MODAI STREET
2 YITZHAK MODAI STREET
REHOVOT
L3
7608804
Rule 13d-1(c)
Jacobsen Per A.
540000.00
540000.00
540000.00
6.9
IN
Maris Tech Ltd.
2 YITZHAK MODAI STREET, 2 YITZHAK MODAI STREET, REHOVOT, ISRAEL, 7608804.
Per A. Jacobsen
P.O. Box 444
Ashton, MD 20861-0444
Maryland
Y
As of December 18, 2024, the Reporting Person held sole voting
and dispositive power over 540,000 Ordinary Shares of the Issuer
consisting of (i) 190,000 Ordinary Shares, and (ii) warrants to
purchase up to 350,000 Ordinary Shares. The warrants were
exercisable immediately upon issuance and
will expire on January 6, 2027.
6.9%. The percentage of shares of the Issuer's common stock
as reported in this Schedule 13G is based upon 7,878,501
shares of the Issuer's common stock outstanding as of
June 30, 2024 on a basic shares basis, as reported in the
Issuer's Interim Financial Statements filed on or about
August 28, 2024.
540,000
540,000
Y
Y
Y
Y
Y
N
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under § 240.14a-11.
Jacobsen Per A.
/s/ Per Jacobsen
12/19/2024