0001213900-21-049650.txt : 20210923 0001213900-21-049650.hdr.sgml : 20210923 20210923212533 ACCESSION NUMBER: 0001213900-21-049650 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210917 FILED AS OF DATE: 20210923 DATE AS OF CHANGE: 20210923 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Berman Dror CENTRAL INDEX KEY: 0001883780 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39384 FILM NUMBER: 211273871 MAIL ADDRESS: STREET 1: C/O VICARIOUS SURGICAL INC. STREET 2: 78 4TH AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Vicarious Surgical Inc. CENTRAL INDEX KEY: 0001812173 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 78 FOURTH AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: (617) 868-1700 MAIL ADDRESS: STREET 1: 78 FOURTH AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 FORMER COMPANY: FORMER CONFORMED NAME: D8 Holdings Corp. DATE OF NAME CHANGE: 20200514 4 1 ownership.xml X0306 4 2021-09-17 0 0001812173 Vicarious Surgical Inc. RBOT 0001883780 Berman Dror C/O VICARIOUS SURGICAL INC. 78 FOURTH AVENUE WALTHAM MA 02451 1 0 1 0 Class A Common Stock 13436810 I By Innovation Endeavors III LP Shares held directly by Innovation Endeavors III LP. Innovation Endeavors III GP, LLC, the general partner of Innovation Endeavors III LP, may be deemed to have sole voting and dispositive power over the shares held by Innovation Endeavors III LP. The Reporting Person, as a managing member of Innovation Endeavors III GP, LLC may be deemed to share voting and dispositive power over the shares held by Innovation Endeavors III LP. The Reporting Person disclaims beneficial ownership of shares held by Innovation Endeavors III LP, except to the extent of any pecuniary interest therein. /s/ June Morris, Attorney-in-Fact 2021-09-21