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Home > Insider Trading > Latest 13D and 13G Filings > 13G Filing (0001104659-19-050575)

Filing Details

Accession Number:
0001104659-19-050575
Form Type:
13G Filing
Publication Date:
2019-09-18 16:47:49
Filed By:
Hargrove Reginald J.
Company:
Collplant Holdings Ltd. (NASDAQ:CLGN)
Filing Date:
2019-09-18
SEC Url:
13G Filing
Ownership Summary

Please notice the below summary table is generated without human intervention and may contain errors. Please refer to the complete filing displayed below for exact figures.

Name Sole Voting Power Shared Voting Power Sole Dispositive Power Shared Dispositive Power Aggregate Amount Owned Power Percent of Class
The Upper Ground Tater Trust 250,000 0 250,000 0 250,000 4.1%
Reginald J. Hargrove 62,500 0 62,500 0 62,500 1.1%
Filing

 

 

UNITED STATES

 

 

SECURITIES AND EXCHANGE COMMISSION

 

 

Washington, D.C. 20549

 

 

 

 

SCHEDULE 13G

 

Under the Securities Exchange Act of 1934
(Amendment No.     )*

 

CollPlant Biotechnologies Ltd.

(Name of Issuer)

Ordinary Shares, par value NIS 1.5 per share (including Ordinary Shares represented by American Depositary Shares (ADSs) at a ratio of one Ordinary Share per each ADS)

(Title of Class of Securities)

19516R107

(CUSIP Number)

Reginald J. Hargrove

The Upper Ground Tater Trust

c/o Reginald J. Hargrove

1000 Westbank Dr., Ste #2A

Austin, TX 78746

 

Copy to:

 

Jason R. Schendel

Sheppard, Mullin, Richter & Hampton LLP

379 Lytton Ave.

Palo Alto, California 94301

(650) 815-2600

(Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications)

 

September 5, 2019

(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

o

Rule 13d-1(b)

x

Rule 13d-1(c)

o

Rule 13d-1(d)

 

*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

 

The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 (the Act) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

 

CUSIP No. 19516R107

 

 

1.

Name of Reporting Person:
The Upper Ground Tater Trust

 

 

2.

Check the Appropriate Box if a Member of a Group

 

 

(a)

o

 

 

(b)

x

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization:
Texas

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With

5.

Sole Voting Power:
250,000 Ordinary Shares(1)

 

6.

Shared Voting Power:
0

 

7.

Sole Dispositive Power:
250,000 Ordinary Shares(1)

 

8.

Shared Dispositive Power:
0

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person:
250,000 Ordinary Shares(1)

 

 

10.

Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row (9):
4.1%(2)

 

 

12.

Type of Reporting Person (See Instructions):
OO

 

 

 

2

 

CUSIP No. 19516R107

 

 

1.

Name of Reporting Person:
Reginald J. Hargrove

 

 

2.

Check the Appropriate Box if a Member of a Group

 

 

(a)

o

 

 

(b)

x

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization:
United States of America

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With

5.

Sole Voting Power:
62,500 Ordinary Shares(1)

 

6.

Shared Voting Power:
0

 

7.

Sole Dispositive Power:
62,500 Ordinary Shares(1)

 

8.

Shared Dispositive Power:
0

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person:
62,500 Ordinary Shares(1)

 

 

10.

Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row (9):
1.1%(2)

 

 

12.

Type of Reporting Person (See Instructions):
IN

 

 

3

 

CUSIP No. 19516R107

 

Item 1(a).

Name of Issuer:
CollPlant Biotechnologies Ltd. (the Issuer)

Item 1(b).

Address of Issuers Principal Executive Offices:
4 Oppenheimer St, Weizmann Science Park

Rehovot 7670104, Israel

 

Item 2(a).

Name of Person(s) Filing:

This statement is filed by the individuals and entities listed below, all of whom together are referred to herein as the Reporting Persons. 

(i) The Upper Ground Tater Trust

(ii) Reginald J. Hargrove, an individual

Item 2(b).

Address of Principal Business Office or, if none, Residence:
The address of the principal business office of each of the Reporting Persons is 1000 Westbank Dr, Ste #2A, Austin, TX 78746.

Item 2(c).

Citizenship:
See Item 4 of each cover page.

Item 2(d).

Title of Class of Securities:
See the cover page of this filing.

Item 2(e).

CUSIP Number:
19516R107.

 

Item 3.

If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:

Not applicable.

 

4

 

CUSIP No. 19516R107

 

Item 10.

Certification.

 

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.

 

SIGNATURES

After reasonable inquiry and to the best of my knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct.

Dated: September 18, 2019

The Upper Ground Tater Trust

 

 

 

 

 

Name:

/s/ Reginald J. Hargrove

 

By:

Reginald J. Hargrove, Trustee

 

 

Dated: September 18, 2019

 

 

 

 

Name:

/s/ Reginald J. Hargrove

 

6

 

CUSIP No. 19516R107

 

EXHIBIT INDEX

 

Exhibit

 

 

 

 

 

Exhibit A:

 

Joint Filing Agreement.

 

7

 

CUSIP No. 19516R107

 

EXHIBIT A

 

JOINT FILING AGREEMENT

 

In accordance with Rule 13d-1(k) under the Securities Exchange Act of 1934, as amended, the undersigned agree to the joint filing on behalf of each of them of a Statement on Schedule 13G (including any and all amendments thereto) with respect to the Ordinary Shares, par value NIS 1.5 per share (including Ordinary Shares represented by American Depositary Shares (ADSs) at a ratio of one Ordinary Share per ADS, of CollPlant Biotechnologies Ltd., and further agree that this Joint Filing Agreement shall be included as an Exhibit to such joint filings.

 

The undersigned further agree that each party hereto is responsible for the timely filing of such Statement on Schedule 13G and any amendments thereto, and for the accuracy and completeness of the information concerning such party contained therein; provided, however, that no party is responsible for the accuracy or completeness of the information concerning any other party, unless such party knows or has reason to believe that such information is inaccurate.

 

This Joint Filing Agreement may be signed in counterparts with the same effect as if the signature on each counterpart were upon the same instrument.

 

IN WITNESS WHEREOF, the undersigned have executed this Agreement as of September 18, 2019.

 

Dated:  September 18, 2019

The Upper Ground Tater Trust

 

 

 

 

 

Name:

/s/ Reginald J. Hargrove

 

By:

Reginald J. Hargrove, Trustee

 

 

Dated:  September 18, 2019

 

 

 

 

Name:

/s/ Reginald J. Hargrove

 

8