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*
Amor Elad

(Last) (First) (Middle)
C/O MOTUS GI HOLDINGS, INC.
1301 EAST BROWARD BOULEVARD, 3RD FLOOR

(Street)
FT. LAUDERDALE FL 33301

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/02/2023
3. Issuer Name and Ticker or Trading Symbol
Motus GI Holdings, Inc. [ MOTS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Accounting Officer
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)
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
Stock Option (right to buy) (1) 02/10/2032 Common Stock 2,500 9.2 D
Stock Option (right to buy) (2) 02/17/2031 Common Stock 1,700 35.6 D
Stock Option (right to buy) 11/11/2021 11/11/2030 Common Stock 1,000 14.8 D
Stock Option (right to buy) 06/11/2021 06/11/2030 Common Stock 1,000 23.4 D
Stock Option (right to buy) 02/01/2023 02/06/2030 Common Stock 2,500 43.2 D
Explanation of Responses:
1. The option became exercisable as to 33% of the shares on May 1, 2023. The remaining 67% of the shares subject to the option will vest in seven (7) equal, quarterly installments. All shares subject to the option will be vested on February 1, 2025.
2. The option became exercisable as to 50% of the shares on May 1, 2023. The remaining 50% of the shares subject to the option will vest in three (3) equal, quarterly installments. All shares subject to the option will be vested on February 1, 2024.
Remarks:
Exhibit 24 - Power of Attorney
/s/ Elad Amor 06/21/2023
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.