0001213900-22-031139.txt : 20220603 0001213900-22-031139.hdr.sgml : 20220603 20220603161355 ACCESSION NUMBER: 0001213900-22-031139 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210917 FILED AS OF DATE: 20220603 DATE AS OF CHANGE: 20220603 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Berman Dror CENTRAL INDEX KEY: 0001883780 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-39384 FILM NUMBER: 22994531 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/A 1 ownership.xml X0306 4/A 2021-09-17 2021-09-23 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 13770143 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 manager of Innovation Endeavors III GP, LLC and 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. This Form 4 amendment is being filed to include the 333,333 shares of Class A common stock purchased by Innovation Endeavors III LP from Vicarious Surgical Inc., at a price of $10.00 per share, in a private placement immediately prior to the closing of the transactions contemplated by the Agreement and Plan of Merger, dated as of April 15, 2021, by and among D8 Holdings Corp. ("D8"), Snowball Merger Sub, Inc., a Delaware corporation and wholly owned subsidiary of D8 ("Merger Sub"), and Vicarious Surgical Inc., a Delaware corporation, pursuant to which Merger Sub merged with and into Vicarious Surgical Inc., with Vicarious Surgical Inc. surviving as a wholly-owned subsidiary of D8 (which changed its name to "Vicarious Surgical Inc."). This Form 4 amendment is intended to replace, in its entirety, the Form 4 filed on September 23, 2021. /s/ June Morris, Attorney-in-Fact 2022-06-03