# EDGAR Filing Document

**Accession Number:** 0001648365
**File Stem:** 0001213900-23-011754
**Filing Date:** 2023-2
**Character Count:** 8420
**Document Hash:** 3bc91af447ad5ceaa09e21f912d72bce
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001213900-23-011754.hdr.sgml**: 20230214

**ACCESSION NUMBER**: 0001213900-23-011754

**CONFORMED SUBMISSION TYPE**: 5

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20221231

**FILED AS OF DATE**: 20230214

**DATE AS OF CHANGE**: 20230214

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** TINGO, INC.
- **CENTRAL INDEX KEY:** 0001648365
- **STANDARD INDUSTRIAL CLASSIFICATION:** SERVICES-ADVERTISING [7310]
- **STATE OF INCORPORATION:** NV
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 5
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-35850
- **FILM NUMBER:** 23633267

**BUSINESS ADDRESS:**
- **STREET 1:** 43 W. 23RD STREET, 2ND FLOOR
- **CITY:** NEW YORK CITY
- **STATE:** NY
- **ZIP:** 10110
- **BUSINESS PHONE:** 1 646 847-0144

**MAIL ADDRESS:**
- **STREET 1:** 43 W. 23RD STREET, 2ND FLOOR
- **CITY:** NEW YORK CITY
- **STATE:** NY
- **ZIP:** 10110

**FORMER NAME:**
- **FORMER CONFORMED NAME:** IWEB, Inc.
- **DATE OF NAME CHANGE:** 20150717
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** MICT, Inc.
- **CENTRAL INDEX KEY:** 0000854800
- **STANDARD INDUSTRIAL CLASSIFICATION:** INSURANCE AGENTS BROKERS & SERVICES [6411]
- **IRS NUMBER:** 270016420
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**BUSINESS ADDRESS:**
- **STREET 1:** 28 WEST GRAND AVENUE, SUITE 3
- **CITY:** MONTVALE
- **STATE:** NJ
- **ZIP:** 07645
- **BUSINESS PHONE:** 201-225-0190

**MAIL ADDRESS:**
- **STREET 1:** 28 WEST GRAND AVENUE, SUITE 3
- **CITY:** MONTVALE
- **STATE:** NJ
- **ZIP:** 07645

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** MICRONET ENERTEC TECHNOLOGIES, INC.
- **DATE OF NAME CHANGE:** 20130318

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** LAPIS TECHNOLOGIES INC
- **DATE OF NAME CHANGE:** 19890829

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 5

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>TINGO, INC.<br><sub>(Last) (First) (Middle)</sub><br>C/O TINGO, INC.<br>43 WEST 23RD STREET<br><sub>(Street)</sub><br>NEW YORK,, NY 10010<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2022-12-31 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>MICT, Inc. [ MICT ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Common Stock |  |  |  |  |  |  |  | 25783675<sup>(2)</sup> | D |  |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| Series A Preferred Stock | <sup>(3)</sup> |  |  |  |  |  |  | <sup>(4)</sup> | 2023-06-30 | Series A Preferred Stock | 2604.28 |  | 26042808<sup>(3)</sup> | D |  |
| Series B Preferred Stock | <sup>(5)</sup> |  |  |  |  |  |  | <sup>(6)</sup> | 2023-06-30 | Series B Preferred Stock | 33687.21 |  | 33687210<sup>(5)</sup> | D |  |

---

### Footnotes:

(1) On December 1, 2022, a wholly-owned subsidiary of Tingo, Inc., a Nevada corporation (the "Reporting Person") merged with and into (the "Combination") an indirect wholly-owned subsidiary of MICT, Inc. (the "Issuer") .

(2) As consideration for the Combination, 25,783,675 of Issuer's common stock was issued to Reporting Person.

(3) As consideration for the Combination, 2,604.28 shares of Series A preferred stock was issued to Reporting Person. The 2,604.28 shares of Series A preferred stock are convertible into 26,042,808 shares of Issuer's common stock, which is equal to 10,000 shares of common stock and approximately 20.1% of the total issued and outstanding Issuer's common stock.

(4) The conversion date is the latest date of the occurrence of the following scenarios: (i) the later of (a) January 1, 2023 and (b) the date that is ninety (90) days following December 1, 2022; (ii) the date upon which Issuer has received stockholder approval with respect to the issuance of all of the preferred shares; (iii) the date upon which Issuer has effected an increase in the number of shares of common stock authorized under its certificate of incorporation to the extent required to consummate the conversion.

(5) As consideration for the Combination, 33,687.21 shares of Series B preferred stock was issued to Reporting Person. The 33,687.21 shares of Series B preferred stock are convertible into 336,872,210 shares of Issuer's common stock, which is equal to 10,000 shares of common stock and approximately 35% of the total issued and outstanding Issuer's common stock.

(6) The conversion date is the latest date of the occurrence of the following scenarios (i) the later of (a) January 1, 2023 and (b) the date that is ninety (90) days following December 1, 2022; (ii) the date upon which the Corporation has received approval of the Nasdaq change of control application without any material restrictions; (iii) the date upon which Issuer has effected an increase in the number of shares of common stock authorized under its certificate of incorporation to the extent required to consummate the conversion.

**Signature:** /s/ Dozy Mmobuosi  
**Date:** 2023-02-14

### Remarks:

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.

**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.**