0000899243-21-047695.txt : 20211210 0000899243-21-047695.hdr.sgml : 20211210 20211210090452 ACCESSION NUMBER: 0000899243-21-047695 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211209 FILED AS OF DATE: 20211210 DATE AS OF CHANGE: 20211210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Weymouth Elizabeth K CENTRAL INDEX KEY: 0001839922 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41145 FILM NUMBER: 211483819 MAIL ADDRESS: STREET 1: 55 HUDSON YARDS STREET 2: 44TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10001 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Healthcare AI Acquisition Corp. CENTRAL INDEX KEY: 0001848861 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 000000000 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7 STANLEY GARDENS CITY: LONDON STATE: X0 ZIP: W112ND BUSINESS PHONE: 447958369725 MAIL ADDRESS: STREET 1: 7 STANLEY GARDENS CITY: LONDON STATE: X0 ZIP: W112ND 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-12-09 0 0001848861 Healthcare AI Acquisition Corp. HAIA 0001839922 Weymouth Elizabeth K 190 ELGIN AVENUE GEORGE TOWN E9 KY1-9008 CAYMAN ISLANDS 1 0 0 0 Class B ordinary shares Class A ordinary shares 25000 D As described in the issuer's registration statement on Form S-1 (File No. 333-261193) under the heading "Description of Securities-Founder Shares", the Class B ordinary shares, par value $0.0001 per share, will automatically convert into Class A ordinary shares, par value $0.0001 per share, of the issuer at the time of the issuer's initial business combination, or earlier at the option of the holder, on a one-for-one basis, subject to adjustment for share splits, share capitalizations, reorganizations, recapitalizations and the like, and certain anti-dilution rights and have no expiration date. /s/ Elizabeth K. Weymouth 2021-12-10