0001213900-24-042421.txt : 20240513 0001213900-24-042421.hdr.sgml : 20240513 20240513172107 ACCESSION NUMBER: 0001213900-24-042421 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240510 FILED AS OF DATE: 20240513 DATE AS OF CHANGE: 20240513 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carlson Peter M CENTRAL INDEX KEY: 0001379320 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40058 FILM NUMBER: 24940384 MAIL ADDRESS: STREET 1: BRIGHTHOUSE FINANCIAL, INC. STREET 2: 11225 NORTH COMMUNITY HOUSE ROAD CITY: CHARLOTTE STATE: NC ZIP: 28277 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Spectral AI, Inc. CENTRAL INDEX KEY: 0001833498 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2515 MCKINNEY AVE #1000 CITY: DALLAS STATE: TX ZIP: 75201 BUSINESS PHONE: (212) 492-3000 MAIL ADDRESS: STREET 1: 2515 MCKINNEY AVE #1000 CITY: DALLAS STATE: TX ZIP: 75201 FORMER COMPANY: FORMER CONFORMED NAME: Rosecliff Acquisition Corp I DATE OF NAME CHANGE: 20201123 4 1 ownership.xml OWNERSHIP DOCUMENT X0508 4 2024-05-10 0 0001833498 Spectral AI, Inc. MDAI 0001379320 Carlson Peter M 2515 MCKINNEY AVE, SUITE 1000 DALLAS, TX 75201 1 1 0 0 Chief Executive Officer 0 Common Stock 2024-05-10 4 A 0 29411 1.74 A 29411 D Restricted Stock Unit 0 2024-01-03 Common Stock 150000 150000 D Restricted Stock Unit 0 2024-02-29 Common Stock 150000 150000 D The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $1.69 to $1.78 inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the range set forth in this footnote. 50% of RSUs vest on a time-based vesting schedule with 33% of the RSUs vesting on 1/3/2025, 33% vest on 1/3/2026, and the remainder vest on 1/3/2027. The remainder vest pursuant to certain performance-based metrics. 50% of RSUs vest on a time-based vesting schedule with 33% of the RSUs vesting on 2/28/2025, 33% vest on 2/28/2026, and the remainder vest on 2/28/2027. The remainder vest pursuant to certain performance-based metrics. /s/ Peter Carlson 2024-05-13