Sudhir Srivastava - 13 Feb 2024 Form 4 Insider Report for SS Innovations International, Inc. (SSII)

Role
Chairman and CEO, Director, 10%+ Owner
Signature
/s/ Sudhir Srivastava
Issuer symbol
SSII
Transactions as of
13 Feb 2024
Transactions value $
$1,000,000
Form type
4
Filing time
15 Feb 2024, 16:06:54 UTC
Previous filing
29 Nov 2023
Next filing
03 Jul 2024
SEC
View on sec.gov

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction SSII Option to Purchase Common Stock Award $0 +3.35M +1675.11% $0.00 3.55M 13 Feb 2024 Common Stock 3.55M $5.00 Direct F1
transaction SSII 7% Convertible One-Year Promissory Note Award $1M +1 $1,000,000.00* 1 14 Feb 2024 Common Stock 225K $4.45 Held by Sushruta Pvt. Ltd. F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents Options to Purchase Common Stock granted under the Issuer's 2016 Incentive Stock Plan. The Options are exercisable in five equal annual instalments commencing on the date of grant.
F2 The reporting person has a 100% beneficial interest in Sushruta Pvt. Ltd., which holds the derivative security of record.