SEC FORM 3 SEC Form 3
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*
Timwell Corp Ltd

(Last) (First) (Middle)
SUITE 1501A1, GRAND MILLENNIUM PLAZA,
(LOWER BLOCK) 181 QUEEN'S ROAD

(Street)
HONG KONG K3 518000

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/15/2018
3. Issuer Name and Ticker or Trading Symbol
ReWalk Robotics Ltd. [ RWLK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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, par value NIS 0.01 per share 4,000,000(1) D
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
1. Name and Address of Reporting Person*
Timwell Corp Ltd

(Last) (First) (Middle)
SUITE 1501A1, GRAND MILLENNIUM PLAZA,
(LOWER BLOCK) 181 QUEEN'S ROAD

(Street)
HONG KONG K3 518000

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Han Xu

(Last) (First) (Middle)
ROOM 9, UNIT 1, ATTACHED 1
186 SECOND ROAD, ZHIFU DISTRICT

(Street)
YANTAI F4 264001

(City) (State) (Zip)
Explanation of Responses:
1. 4,000,000 Ordinary Shares of ReWalk Robotics Ltd. are owned directly by Timwell Corporation Limited and indirectly by Xu Han, who is the sole director of and wholly owns Timwell Corporation Limited.
Timwell Corporation Limited /s/ Xu Han Name: Xu Han Title: Director 05/29/2018
/s/ Xu Han 05/29/2018
** 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 5 (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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