0000950170-24-075656.txt : 20240620
0000950170-24-075656.hdr.sgml : 20240620
20240620164346
ACCESSION NUMBER: 0000950170-24-075656
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240620
FILED AS OF DATE: 20240620
DATE AS OF CHANGE: 20240620
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SHAH JAISIM
CENTRAL INDEX KEY: 0001242133
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39852
FILM NUMBER: 241057130
MAIL ADDRESS:
STREET 1: C/O PROTINE DESIGN LAB
STREET 2: 37481 MARSTEN DR
CITY: NEWARK
STATE: CA
ZIP: 94560
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Scilex Holding Co
CENTRAL INDEX KEY: 0001820190
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
ORGANIZATION NAME: 03 Life Sciences
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 960 SAN ANTONIO ROAD
CITY: PALO ALTO
STATE: CA
ZIP: 94303
BUSINESS PHONE: (650) 516-4310
MAIL ADDRESS:
STREET 1: 960 SAN ANTONIO ROAD
CITY: PALO ALTO
STATE: CA
ZIP: 94303
FORMER COMPANY:
FORMER CONFORMED NAME: Scilex Holding Company/DE
DATE OF NAME CHANGE: 20221117
FORMER COMPANY:
FORMER CONFORMED NAME: Vickers Vantage Corp. I
DATE OF NAME CHANGE: 20200804
4
1
ownership.xml
4
X0508
4
2024-06-20
0001820190
Scilex Holding Co
SCLX
0001242133
SHAH JAISIM
C/O SCILEX HOLDING COMPANY
960 SAN ANTONIO ROAD
PALO ALTO
CA
94303
true
true
false
false
See Remarks
false
Common Stock
2024-06-20
4
M
false
14000
1.73
A
47333
D
Common Stock
155882
I
See Footnote
Nonstatutory Stock Option (right to buy)
1.73
2024-06-20
4
M
false
14000
0.00
D
2029-06-06
Common Stock
14000
7880598
D
1/4th of the original number of shares subject to the option vested on March 18, 2020, and 1/36th of the remaining number of shares subject to the option vested and shall vest on a monthly basis thereafter, subject to the Reporting Person's continued service to the Issuer through each such vesting date.
Shares are held in a family trust of which the Reporting Person is a co-trustee with his spouse.
Chief Executive Officer and President
/s/ Jaisim Shah
2024-06-20