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Form 3 Foresight Autonomous For: Mar 18 Filed by: Scherf-Siboni Sivan

March 30, 2026 5:29 PM
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person *
Scherf-Siboni Sivan

(Last) (First) (Middle)
C/O FORESIGHT AUTONOMOUS
7 GOLDA MEIR ISRAEL

(Street)
NESS ZIONA 7414001

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/18/2026
3. Issuer Name and Ticker or Trading Symbol
Foresight Autonomous Holdings Ltd. [ FRSX ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP of Human Resources
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Ordinary Shares 1,257,143 (1)
D
Ordinary Shares 150,000 (2)
I
See Footnote (3)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
American Depositary Receipts (4) (4) Ordinary Shares 107,100 (4) (4) D
Stock options (right to buy) (6) 05/04/2017 Ordinary Shares 21,429 1.12 (5) D
Stock options (right to buy) (7) 07/16/2020 Ordinary Shares 100,000 1.12 (5) D
Stock options (right to buy) (8) 10/20/2022 Ordinary Shares 85,714 1.12 (5) D
Stock options (right to buy) (9) 10/20/2029 Ordinary Shares 57,143 1.12 (5) I See Footnote (3)
Explanation of Responses:
1. Includes 1,128,571 ordinary shares, no par value per share, of the Issuer (the "Ordinary Shares") issuable upon the vesting of restricted share units ("RSUs") through January 1, 2029.Each RSU represents the right to receive one Ordinary Share.
2. Includes 75,000 Ordinary Shares issuable upon the vesting of RSUs through July 1, 2027.
3. The securities are owned by Moshe Scherf, Mrs. Siboni Scherf's spouse, and, therefore, Mrs. Siboni Scherf may be deemed to beneficially own securities owned by Mr. Scherf, to the extent of her spouse's pecuniary interest therein. The reporting person disclaims beneficial ownership of the reported securities except to the extent of her pecuniary interest therein.
4. 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.
5. 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.
6. The options were granted on May 4, 2017 and fully vested as of January 1, 2020.
7. The options were granted on July 16, 2020 and fully vested as of December 31, 2022.
8. The options were granted on October 20, 2022 and fully vested as of December 31, 2025.
9. The options were granted on October 20, 2022 and fully vested as of September 30, 2025.
/s/ Sivan Siboni-Scherf 03/30/2026
** Signature of Reporting Person 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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