0000899243-22-002974.txt : 20220124 0000899243-22-002974.hdr.sgml : 20220124 20220124142825 ACCESSION NUMBER: 0000899243-22-002974 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220124 FILED AS OF DATE: 20220124 DATE AS OF CHANGE: 20220124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Healthcare AI Acquisition LLC CENTRAL INDEX KEY: 0001848867 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41145 FILM NUMBER: 22548855 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 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-01-24 0 0001848861 Healthcare AI Acquisition Corp. HAIA 0001848867 Healthcare AI Acquisition LLC 190 ELGIN AVENUE GEORGE TOWN E9 KY1-9008 CAYMAN ISLANDS 0 0 1 0 Class B ordinary shares 2022-01-24 4 J 0 359400 D Class A ordinary shares 359400 5290600 D This Form 4 reflects the automatic surrender to Healthcare AI Acquisition Corp. (the "Issuer") of 359,400 shares of the Issuer's Class B ordinary shares, par value $0.0001 per share, for no consideration by the reporting person pursuant to contractual arrangements with the Issuer, triggered by the election by the underwriter of the Issuer's initial public offering to partially exercise its option to purchase additional units. 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. The reporting person is controlled by a four-member board of managers composed of Simon Cottle, Patrick Hargutt, Roger Priaulx and Dawn Howe. The approval of a majority of the managers is required to approve an action of the reporting person. Under the so-called "rule of three," if voting and dispositive decisions regarding an entity's securities are made by three or more individuals, and a voting or dispositive decision requires the approval of a majority of those individuals, then none of the individuals is deemed a beneficial owner of the entity's securities. This is the situation with regard to the reporting person. Based upon the foregoing analysis, no individual manager of the reporting person exercises voting or dispositive control over any of the securities held by the reporting, even those in which such manager holds a pecuniary interest. Accordingly, none of them will be deemed to have or share beneficial ownership of such securities. /s/ Patrick Hargutt, as authorized signatory 2022-01-24