0001104659-21-080922.txt : 20210614 0001104659-21-080922.hdr.sgml : 20210614 20210614185022 ACCESSION NUMBER: 0001104659-21-080922 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210610 FILED AS OF DATE: 20210614 DATE AS OF CHANGE: 20210614 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stark John VIII CENTRAL INDEX KEY: 0001864883 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39486 FILM NUMBER: 211016127 MAIL ADDRESS: STREET 1: C/O QUANTUM-SI INCORPORATED STREET 2: 530 OLD WHITFIELD STREET CITY: GUILFORD STATE: CT ZIP: 06437 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Quantum-Si Inc CENTRAL INDEX KEY: 0001816431 STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829] IRS NUMBER: 851388175 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 530 OLD WHITFIELD STREET CITY: GUILFORD STATE: CT ZIP: 06437 BUSINESS PHONE: (203) 458-7100 MAIL ADDRESS: STREET 1: 530 OLD WHITFIELD STREET CITY: GUILFORD STATE: CT ZIP: 06437 FORMER COMPANY: FORMER CONFORMED NAME: HighCape Capital Acquisition Corp. DATE OF NAME CHANGE: 20200629 4 1 tm2119549-15_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-06-10 0 0001816431 Quantum-Si Inc QSI 0001864883 Stark John VIII C/O QUANTUM-SI INCORPORATED 530 OLD WHITFIELD STREET GUILFORD CT 06437 1 1 0 0 Chief Executive Officer Class A Common Stock 2021-06-10 4 A 0 1703460 A 1703460 D Class A Common Stock 2021-06-10 4 A 0 453777 A 2157237 D Consists of restricted stock units ("RSUs"). Each RSU represents the right to receive one share of common stock upon vesting. The RSUs vest as to 25% on January 7, 2022, with the remainder vesting in 12 equal quarterly installments thereafter beginning with the quarter ending March 31, 2022, subject to Mr. Stark's continued service through the applicable vesting date. In connection with the closing of the transactions (the "Business Combination") contemplated by the Business Combination Agreement, dated as of February 18, 2021, by and among HighCape Capital Acquisition Corp. ("HighCape"), Tenet Merger Sub, Inc., a Delaware corporation and wholly owned subsidiary of HighCape ("Merger Sub"), and Quantum-Si Incorporated, a Delaware corporation ("Quantum-Si"), pursuant to which Merger Sub merged with and into Quantum-Si (the "Merger"), with Quantum-Si surviving as a wholly-owned subsidiary of HighCape (which changed its name to "Quantum-Si Incorporated", the "Issuer"), these RSUs were received in exchange for 2,136,000 RSUs of Quantum-Si. Consists of RSUs. Each RSU represents the right to receive one share of common stock upon vesting. The RSUs vest (i) on the closing of a financing in excess of $50 million within three years of Mr. Stark's start date at a share price greater than $16.08 (as adjusted), or (ii) if Quantum-Si is a publicly listed company and within three years of Mr. Stark's start date the closing price of Quantum-Si's shares is $16.08 (as adjusted) or more for any 20 trading days within any 30 consecutive trading day period, subject to Mr. Stark's continued service through the applicable vesting date. In connection with the Merger, these RSUs were received in exchange for 569,000 RSUs of Quantum-Si. /s/ Christian LaPointe, Ph.D., Attorney-in-Fact 2021-06-14