0001104659-21-003504.txt : 20210112 0001104659-21-003504.hdr.sgml : 20210112 20210112170219 ACCESSION NUMBER: 0001104659-21-003504 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210108 FILED AS OF DATE: 20210112 DATE AS OF CHANGE: 20210112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Singhal Vikas CENTRAL INDEX KEY: 0001838267 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39841 FILM NUMBER: 21524115 MAIL ADDRESS: STREET 1: 2187 ATLANTIC STREET STREET 2: FOURTH FLOOR CITY: STAMFORD STATE: CT ZIP: 06902 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Kairos Acquisition Corp. CENTRAL INDEX KEY: 0001824171 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 000000000 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 50 WASHINGTON STREET STREET 2: SUITE 921 CITY: NORWALK STATE: CT ZIP: 06854 BUSINESS PHONE: 9177834057 MAIL ADDRESS: STREET 1: 50 WASHINGTON STREET STREET 2: SUITE 921 CITY: NORWALK STATE: CT ZIP: 06854 4 1 tm212964d1_4.xml OWNERSHIP DOCUMENT X0306 4 2021-01-08 0 0001824171 Kairos Acquisition Corp. KAIRU 0001838267 Singhal Vikas C/O HUDSON STRUCTURED CAPITAL MGMT LTD. 2187 ATLANTIC STREET - 4TH FLOOR STAMFORD CT 06902 1 0 1 0 Class A Ordinary Shares 2021-01-08 4 P 0 1980000 10 A 1980000 I See Footnote These shares are underlying units (each unit consisting of one Class A ordinary share and one half of one warrant, each whole warrant exercisable to purchase one Class A ordinary share) held by HS Chronos LLC, acquired from the issuer in its initial public offering. Does not include 3,944,894 Class B ordinary shares, which shares will automatically convert into Class A ordinary shares at the time of the issuer's initial business combination on a one-for-one basis, subject to adjustment for stock splits, stock dividends, reorganizations, recapitalizations and the like, and certain anti-dilution rights. Mr. Singhal is a Partner of Hudson Structured Capital Management Ltd. ("HSCM") which manages HSCM Bermuda Fund Ltd. ("HSCM Fund One") and HS Santanoni LP ("HSCM Fund Two"). HSCM Fund One and HSCM Fund Two jointly own HS Chronos LLC, of which Mr. Singhal also serves as an officer. Therefore, Mr. Singhal manages, directly or indirectly, each of HS Chronos LLC, HSCM Fund One, HSCM Fund Two and HSCM (collectively, the "HSCM Holders"), and therefore may be deemed to be the beneficial owner of all the ordinary shares beneficially owned by the HSCM Holders. Mr. Singhal, HSCM Fund One, HSCM Fund Two and HSCM disclaim beneficial ownership of the ordinary shares except to the extent of their respective pecuniary interests therein. /s/ Vikas Singhal 2021-01-12