BiomX Inc.
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(Name of Issuer)
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Common Stock, $0.0001 par value
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(Title of Class of Securities)
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09090D103
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(CUSIP Number)
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December 31, 2021
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(Date of Event Which Requires Filing of this Statement)
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CUSIP No. 09090D103
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Page 2 of 6 pages
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1
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NAMES OF REPORTING PERSONS
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Chidozie Ugwumba
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)☐
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(b)☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
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United States
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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5
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SOLE VOTING POWER
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5,512,846
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6
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SHARED VOTING POWER
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0
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7
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SOLE DISPOSITIVE POWER
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5,512,846
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8
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SHARED DISPOSITIVE POWER
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0
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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5,512,846
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10
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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19.28%
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12
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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IN
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CUSIP No. 09090D103
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Page 3 of 6 pages
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Item 1(a). | Name of Issuer: |
Item 1(b). | Address of Issuer's Principal Executive Offices: |
Item 2(a). | Name of Person Filing: |
Item 2(b). | Address of Principal Business Office or, if none, Residence: |
Item 2(c). | Citizenship: |
Item 2(d). | Title of Class of Securities: |
Item 2(e). | CUSIP Number: |
CUSIP No. 09090D103
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Page 4 of 6 pages
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Item 3. | If This Statement Is Filed Pursuant to Sections 240.13d-1(b) or |
(a) | ☐ Broker or dealer registered under Section 15 of the Act (15 U.S.C. 78o); |
(b) | ☐ Bank as defined in Section 3(a)(6) of the Act (15 U.S.C. 78c); |
(c) | ☐ Insurance company as defined in Section 3(a)(19) of the Act (15 U.S.C. 78c); |
(d) | ☐ Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8); |
(e) | ☐ Investment adviser in accordance with Section 240.13d-1(b)(1)(ii)(E); |
(f) | ☐ Employee benefit plan or endowment fund in accordance with Section 240.13d-1(b)(1)(ii)(F); |
(g) | ☐ Parent holding company or control person in accordance with Section 240.13d-1(b)(1)(ii)(G); |
(h) | ☐ Savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); |
(i) | ☐ Church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); |
(j) | ☐ A non-U.S. institution in accordance with Section 240.13d-1(b)(1)(ii)(J); |
(k) | ☐ Group, in accordance with Section 240.13d-1(b)(1)(ii)(K). If filing as a non-U.S. institution in accordance with Section 240.13d-1(b)(1)(ii)(J), please specify the type of institution: ____________________________ . |
Item 4. | Ownership. |
(a) |
Amount beneficially owned:
5,512,846
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(b) |
Percent of class:
19.28%
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(c) | Number of shares as to which the person has: |
(i) |
Sole power to vote or to direct the vote:
5,512,846
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(ii) |
Shared power to vote or to direct the vote:
0
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(iii) |
Sole power to dispose or to direct the disposition of:
5,512,846
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(iv) |
Shared power to dispose or to direct the disposition of:
0
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CUSIP No. 09090D103
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Page 5 of 6 pages
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Item 5. | Ownership of Five Percent or Less of a Class. |
Item 6. |
Ownership of More Than Five Percent on Behalf of Another Person.
Not applicable
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Item 7. |
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company.
Not applicable
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Item 8. |
Identification and Classification of Members of the Group.
Not applicable
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Item 9. |
Notice of Dissolution of Group.
Not applicable
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Item 10.
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Certification.
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CUSIP No. 09090D103
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Page 6 of 6 pages
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/s/ Chidozie Ugwumba
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Name: Chidozie Ugwumba
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