0001213900-22-027699.txt : 20220517
0001213900-22-027699.hdr.sgml : 20220517
20220517165724
ACCESSION NUMBER: 0001213900-22-027699
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220516
FILED AS OF DATE: 20220517
DATE AS OF CHANGE: 20220517
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Khalifa Sammy
CENTRAL INDEX KEY: 0001883777
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39384
FILM NUMBER: 22935448
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
2022-05-16
0
0001812173
Vicarious Surgical Inc.
RBOT
0001883777
Khalifa Sammy
C/O VICARIOUS SURGICAL INC.
78 FOURTH AVENUE
WALTHAM
MA
02451
1
1
1
0
Chief Technology Officer
Class A Common Stock
2022-05-16
4
C
0
4551
A
140964
D
Class A Common Stock
2022-05-16
4
S
0
4551
3.795
D
136413
D
Class B Common Stock
2022-05-16
4
C
0
4551
0
D
Class A Common Stock
4551
4542566
D
Each share of Class B Common Stock, par value $0.0001 per share (the "Class B Common Stock"), was converted into one share of Class A Common Stock, par value $0.0001 per share (the "Class A Common Stock"), for no additional consideration at the option of the Reporting Person. The shares of Class B Common Stock are convertible into an equal number of shares of Class A Common Stock at the Reporting Person's election and have no expiration date.
These shares were sold pursuant to a Rule 10b5-1 trading plan entered into by the Reporting Person.
This figure is the weighted average sales price of multiple trades ranging from $3.645 to $3.980 per share. The Reporting Person undertakes to provide the staff of the Securities Exchange Commission, Vicarious Surgical Inc. or any security holder of Vicarious Surgical Inc. full information about the number of shares sold at each separate price upon request.
/s/ June Morris, Attorney-in-Fact
2022-05-17