0001104659-22-071884.txt : 20220616
0001104659-22-071884.hdr.sgml : 20220616
20220616160709
ACCESSION NUMBER: 0001104659-22-071884
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220614
FILED AS OF DATE: 20220616
DATE AS OF CHANGE: 20220616
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Moazami Mohsen
CENTRAL INDEX KEY: 0001841573
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40904
FILM NUMBER: 221020604
MAIL ADDRESS:
STREET 1: C/O ASTREA ACQUISITION CORP.
STREET 2: 55 OCEAN LANE DRIVE, APT. 3021
CITY: KEY BISCAYNE
STATE: FL
ZIP: 33149
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Marpai, Inc.
CENTRAL INDEX KEY: 0001844392
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 5701 EAST HILLSBOROUGH AVENUE, SUITE 141
CITY: TAMPA
STATE: FL
ZIP: 33610
BUSINESS PHONE: 646-303-3483
MAIL ADDRESS:
STREET 1: 5701 EAST HILLSBOROUGH AVENUE, SUITE 141
CITY: TAMPA
STATE: FL
ZIP: 33610
4
1
tm2218660-6_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-06-14
0
0001844392
Marpai, Inc.
MRAI
0001841573
Moazami Mohsen
C/O MARPAI, INC.
5701 EAST HILLSBOROUGH AVE., SUITE 1417
TAMPA
FL
33610-5428
1
0
0
0
Stock Option (Right to Buy)
1.11
2022-06-14
4
A
0
175000
0
A
2032-06-14
Class A Common Stock
175000
175000
D
The option vests monthly over a three-year period, commencing on March 31, 2021.
/s/ Mohsen Moazami
2022-06-16