0001104659-21-080931.txt : 20210614 0001104659-21-080931.hdr.sgml : 20210614 20210614185533 ACCESSION NUMBER: 0001104659-21-080931 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: Tananbaum James B. CENTRAL INDEX KEY: 0001581754 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39486 FILM NUMBER: 211016142 MAIL ADDRESS: STREET 1: 3052 PACIFIC AVENUE CITY: SAN FRANCISCO STATE: CA ZIP: 94115 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 tm2119549-22_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-06-10 0 0001816431 Quantum-Si Inc QSI 0001581754 Tananbaum James B. 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 4463619 A 4463619 I Foresite Capital Fund IV, L.P. Class A Common Stock 2021-06-10 4 A 0 743936 A 743936 I Foresite Capital Fund V, L.P. Class A Common Stock 2021-06-10 4 A 0 1250000 10.00 A 1993936 I Foresite Capital Fund V, L.P. Class A Common Stock 2021-06-10 4 A 0 348125 0.001 A 2342061 I Foresite Capital Fund V, L.P. Class A Common Stock 2021-06-10 4 A 0 1250000 10.00 A 1250000 I By Foresite Capital Opportunity Fund V, L.P. Class A Common Stock 2021-06-10 4 A 0 348125 0.001 A 1598125 I By Foresite Capital Opportunity Fund V, L.P. Class A Common Stock 2021-06-11 4 A 0 20512 0.00 A 20512 D 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 5,597,015 shares of Quantum-Si Series E preferred stock. Foresite Capital Management IV, LLC ("FCM IV") is the general partner of Foresite Capital Fund IV, L.P. ("Foresite IV") and may be deemed to have sole voting and dispositive power over shares held by Foresite IV. Foresite Capital Management V, LLC ("FCM V") is the general partner of Foresite Capital Fund V, L.P. ("Foresite V") and Foresite Capital Opportunity Fund V, L.P. ("Foresite Opportunity") and may be deemed to have sole voting and dispositive power over shares held by Foresite V and Foresite Opportunity. Dr. Tananbaum is the sole managing member of FCM IV and FCM V and may be deemed to have sole voting and dispositive power over share held by Foresite IV, Foresite V, and Foresite Opportunity. Each of FCM IV, FCM V, Foresite Opportunity, and Dr. Tananbaum disclaims beneficial ownership of shares held by Foresite IV, Foresite V, and Foresite Opportunity except to the extent of any pecuniary interest therein. Received in connection with the Merger in exchange for 932,836 shares of Quantum-Si Series E preferred stock. Foresite V and Foresite Opportunity each purchased 1,250,000 shares of Class A common stock from the Issuer, at a price of $10.00 per share, in a private placement immediately prior to the closing of the Merger. Foresite V and Foresite Opportunity each acquired 348,125 shares of Class A common stock from the Issuer, at a price of $0.001 per share, immediately prior to the closing of the Merger. 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 Dr. Tananbaum's continued service through the applicable vesting date. /s/ Christian LaPointe, Ph.D., Attorney-in-Fact 2021-06-14