0001213900-24-053878.txt : 20240618 0001213900-24-053878.hdr.sgml : 20240618 20240618171531 ACCESSION NUMBER: 0001213900-24-053878 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240617 FILED AS OF DATE: 20240618 DATE AS OF CHANGE: 20240618 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sachs Adam David CENTRAL INDEX KEY: 0001885593 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39384 FILM NUMBER: 241053014 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] ORGANIZATION NAME: 08 Industrial Applications and Services 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 X0508 4 2024-06-17 0 0001812173 Vicarious Surgical Inc. RBOT 0001885593 Sachs Adam David C/O VICARIOUS SURGICAL INC. 78 FOURTH AVENUE WALTHAM MA 02451 1 1 1 0 CEO 0 Stock Option (right to buy) 6.86 2024-06-17 4 A 0 12946 0.00 A 2034-06-16 Class A Common Stock 12946 12946 D The shares underlying this option vest in equal monthly installments over 48 months beginning on June 17, 2024, subject to Mr. Sachs' continued service through the applicable vesting date. /s/ Erin Checka, Attorney-in-Fact 2024-06-18