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