0001104659-21-080929.txt : 20210614 0001104659-21-080929.hdr.sgml : 20210614 20210614185344 ACCESSION NUMBER: 0001104659-21-080929 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210610 FILED AS OF DATE: 20210614 DATE AS OF CHANGE: 20210614 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fattori Ruth A CENTRAL INDEX KEY: 0001306826 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39486 FILM NUMBER: 211016140 MAIL ADDRESS: STREET 1: 1303 EAST ALGONQUIN ROAD CITY: SCHAUMBURG STATE: IL ZIP: 60196 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Quantum-Si Inc CENTRAL INDEX KEY: 0001816431 STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829] IRS NUMBER: 851388175 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 530 OLD WHITFIELD STREET CITY: GUILFORD STATE: CT ZIP: 06437 BUSINESS PHONE: (203) 458-7100 MAIL ADDRESS: STREET 1: 530 OLD WHITFIELD STREET CITY: GUILFORD STATE: CT ZIP: 06437 FORMER COMPANY: FORMER CONFORMED NAME: HighCape Capital Acquisition Corp. DATE OF NAME CHANGE: 20200629 4 1 tm2119549-20_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-06-10 0 0001816431 Quantum-Si Inc QSI 0001306826 Fattori Ruth A C/O QUANTUM-SI INCORPORATED 530 OLD WHITFIELD STREET GUILFORD CT 06437 1 0 0 0 Class A Common Stock 2021-06-10 4 A 0 150000 A 150000 D Class A Common Stock 2021-06-11 4 A 0 20512 0.00 A 170512 D Consists of restricted stock units ("RSUs"). Each RSU represents the right to receive one share of common stock upon vesting. The RSUs vest in 12 equal quarterly installments beginning on June 30, 2021, which vesting will be delayed to the extent the Issuer (as defined below) has not filed a Form S-8 registering such shares by the applicable vesting date, subject to Ms. Fattori's continued service through the applicable vesting date. In connection with the closing of the transactions contemplated by the Business Combination Agreement, dated as of February 18, 2021, by and among HighCape Capital Acquisition Corp. ("HighCape"), Tenet Merger Sub, Inc., a Delaware corporation and wholly owned subsidiary of HighCape ("Merger Sub"), and Quantum-Si Incorporated, a Delaware corporation ("Quantum-Si"), pursuant to which Merger Sub merged with and into Quantum-Si (the "Merger"), with Quantum-Si surviving as a wholly-owned subsidiary of HighCape (which changed its name to "Quantum-Si Incorporated", the "Issuer"), these shares were received in exchange for 188,089 RSUs of Quantum-Si. Consists of RSUs. Each RSU represents the right to receive one share of common stock upon vesting. The RSUs vest in equal annual installments over three years beginning on June 11, 2022, subject to Ms. Fattori's continued service through the applicable vesting date. /s/ Christian LaPointe, Ph.D., Attorney-in-Fact 2021-06-14