0001213900-22-039658.txt : 20220715 0001213900-22-039658.hdr.sgml : 20220715 20220715161712 ACCESSION NUMBER: 0001213900-22-039658 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220713 FILED AS OF DATE: 20220715 DATE AS OF CHANGE: 20220715 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHU DAVID CENTRAL INDEX KEY: 0001199554 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39384 FILM NUMBER: 221086732 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Vicarious Surgical Inc. CENTRAL INDEX KEY: 0001812173 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 78 FOURTH AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: (617) 868-1700 MAIL ADDRESS: STREET 1: 78 FOURTH AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 FORMER COMPANY: FORMER CONFORMED NAME: D8 Holdings Corp. DATE OF NAME CHANGE: 20200514 4 1 ownership.xml X0306 4 2022-07-13 1 0001812173 Vicarious Surgical Inc. RBOT 0001199554 CHU DAVID SUITE 2810-12, ONE PACIFIC PLACE 88 QUEENSWAY ADMIRALTY K3 00000 HONG KONG 0 0 1 0 Class A common stock, par value $0.0001 per share 2022-07-13 4 J 0 8535000 D 0 I See Footnote Class A common stock, par value $0.0001 per share 2022-07-13 4 J 0 815446 A 815446 D D8 Sponsor LLC was the record holder of the securities reported herein. David Chu is one of the two managers of D8 Sponsor LLC and shared voting and investment discretion with respect to the shares of Class A common stock held of record by D8 Sponsor LLC. Mr. Chu disclaimed any beneficial ownership of the securities held by D8 Sponsor LLC other than to the extent of any pecuniary interest he may have therein, directly or indirectly. D8 Sponsor LLC distributed 100% of the issued and outstanding shares of Class A common stock of the Issuer held by it to its members in accordance with the terms of its limited liability company agreement. D8 Sponsor LLC distributed 815,446 shares of Class A common stock of the Issuer to Mr. Chu in his capacity as a member of D8 Sponsor LLC. Mr. Chu is not a director, officer or 10% Owner. Accordingly, he is no longer subject to Section 16 of the Securities Exchange Act of 1934. Under Rule 16a-13 promulgated under the Securities Exchange Act of 1934, as a change in form of beneficial ownership, the reported distribution by D8 Sponsor LLC to its members, and the reported acquisition by Mr. Chu from D8 Sponsor LLC, were exempt from Section 16 of the Securities Exchange Act of 1934. /s/ Audrey Bae, as Attorney-in-Fact 2022-07-15