0001829126-23-005757.txt : 20230830 0001829126-23-005757.hdr.sgml : 20230830 20230830165943 ACCESSION NUMBER: 0001829126-23-005757 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230828 FILED AS OF DATE: 20230830 DATE AS OF CHANGE: 20230830 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sheikh Khurram P CENTRAL INDEX KEY: 0001409638 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39642 FILM NUMBER: 231225942 MAIL ADDRESS: STREET 1: 1140 EAST ARQUES AVE. CITY: SUNNYVALE STATE: CA ZIP: 94085 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CVH, LLC CENTRAL INDEX KEY: 0001820667 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39642 FILM NUMBER: 231225943 BUSINESS ADDRESS: STREET 1: FOUR PALO ALTO SQUARE STREET 2: 3000 EL CAMINO REAL CITY: PALO ALTO STATE: CA ZIP: 94308 BUSINESS PHONE: (650) 575-4456 MAIL ADDRESS: STREET 1: FOUR PALO ALTO SQUARE STREET 2: 3000 EL CAMINO REAL CITY: PALO ALTO STATE: CA ZIP: 94308 FORMER NAME: FORMER CONFORMED NAME: Cardinal Venture Holdings LLC DATE OF NAME CHANGE: 20200807 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KINS Capital Sponsor LLC CENTRAL INDEX KEY: 0001820874 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39642 FILM NUMBER: 231225944 BUSINESS ADDRESS: STREET 1: FOUR PALO ALTO SQUARE STREET 2: 3000 EL CAMINO REAL CITY: PALO ALTO STATE: CA ZIP: 94306 BUSINESS PHONE: (650) 575-4456 MAIL ADDRESS: STREET 1: FOUR PALO ALTO SQUARE STREET 2: 3000 EL CAMINO REAL CITY: PALO ALTO STATE: CA ZIP: 94306 FORMER NAME: FORMER CONFORMED NAME: KINS Capital LLC DATE OF NAME CHANGE: 20200812 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CXApp Inc. CENTRAL INDEX KEY: 0001820875 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 852104918 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: FOUR PALO ALTO SQUARE, SUITE 200 STREET 2: 3000 EL CAMINO REAL CITY: PALO ALTO STATE: CA ZIP: 94306 BUSINESS PHONE: (650) 575-4456 MAIL ADDRESS: STREET 1: FOUR PALO ALTO SQUARE, SUITE 200 STREET 2: 3000 EL CAMINO REAL CITY: PALO ALTO STATE: CA ZIP: 94306 FORMER COMPANY: FORMER CONFORMED NAME: KINS Technology Group, Inc. DATE OF NAME CHANGE: 20200812 4 1 ownership.xml FORM 4 X0508 4 2023-08-28 0 0001820875 CXApp Inc. CXAI 0001820874 KINS Capital Sponsor LLC FOUR PALO ALTO SQUARE, SUITE 200 3000 EL CAMINO REAL PALO ALTO CA 94306 0 0 1 0 0001820667 CVH, LLC FOUR PALO ALTO SQUARE, SUITE 200 3000 EL CAMINO REAL PALO ALTO CA 94306 0 0 1 0 0001409638 Sheikh Khurram P FOUR PALO ALTO SQUARE, SUITE 200 3000 EL CAMINO REAL PALO ALTO CA 94306 1 1 1 0 Chief Executive Officer 0 Class A Common Stock 2023-08-28 4 J 0 6652776 0 D 0 D Private Placement Warrants 11.5 2023-08-28 4 J 0 9103528 0 D 2028-03-14 Class A Common Stock 9103528 0 D Reflects Issuer securities distributed by KINS Capital Sponsor LLC (formerly known as KINS Capital LLC) ("Sponsor") to its members on a pro-rata basis. The Sponsor, in whose name the securities reported herein were held, is managed by its managing member, CVH, LLC (formerly known as Cardinal Venture Holdings LLC) ("CVH"). The managing member of CVH is Khurram P. Sheikh. Each of CVH and Mr. Sheikh may be deemed a beneficial owner of shares held by the Sponsor but each disclaims beneficial ownership of any such shares except to the extent of its or his respective pecuniary interest therein. Each private placement warrant is exercisable for one share of the Issuer's Class A Common Stock. All of the private placement warrants reported herein are exercisable. Khurram P. Sheikh is the managing member of CVH and received 1,814,120 of the shares of the Issuer's Class A common stock and 657,528 of the private placement warrants distributed by the Sponsor based on his interests therein and now owns those securities directly. JKSFS Crut, for which Mr. Sheikh is the trustee, received 453,530 of the shares of the Issuer's Class A common stock distributed by the Sponsor based on its interests therein. Mr. Sheikh may be deemed a beneficial owner of the securities held by JKSFS Crut but disclaims beneficial ownership of any such securities except to the extent of his pecuniary interest therein. Khurram P. Sheikh, the managing member of CVH, serves on the board of directors of CXApp Inc. For the purposes of Section 16 of the Securities Exchange Act of 1934, as amended, each of the Sponsor and CVH may be deemed a director by deputization with respect to CXApp Inc. on the basis of Mr. Sheikh's service on CXApp Inc.'s board of directors. KINS Capital Sponsor LLC (formerly known as KINS Capital LLC) By: /s/ Khurram P. Sheikh, President 2023-08-30 CVH, LLC (formerly known as Cardinal Venture Holdings LLC) By: /s/ Khurram P. Sheikh, Managing Member 2023-08-30 /s/ Khurram P. Sheikh 2023-08-30