Sudhir Srivastava - Feb 20, 2025 Form 4 Insider Report for SS Innovations International, Inc. (SSII)

Role
Chairman and CEO, Director, 10%+ Owner
Signature
/s/ Sudhir Srivastava
Stock symbol
SSII
Transactions as of
Feb 20, 2025
Transactions value $
$22,144,603
Form type
4
Date filed
2/24/2025, 05:00 PM
Previous filing
Feb 18, 2025
Next filing
Mar 10, 2025
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction SSII Common Stock, $0.0001 par value Conversion of derivative security $22.1M +16M +17.57% $1.38 107M Feb 20, 2025 Held by Sushruta Pvt. Ltd. F1, F3

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 7% Convertible One-Year Promissory Note Conversion of derivative security -1 -100% 0 Feb 20, 2025 Common Stock 1.47M $1.38 Held by Sushruta Pvt. Ltd. F1, F2, F4
transaction SSII 7% Convertible One-Year Promissory Note Conversion of derivative security -1 -100% 0 Feb 20, 2025 Common Stock 3.65M $1.38 Held by Sushruta Pvt. Ltd. F1, F2, F4
transaction SSII 7% Convertible One-Year Promissory Note Conversion of derivative security -1 -100% 0 Feb 20, 2025 Common Stock 7.28M $1.38 Held by Sushruta Pvt. Ltd. F1, F2, F4
transaction SSII 7% Convertible One-Year Promissory Note Conversion of derivative security -1 -100% 0 Feb 20, 2025 Common Stock 3.64M $1.38 Held by Sushruta Pvt. Ltd. F1, F2, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The reporting person has a controlling interest in Sushruta Pvt. Ltd. which holds the derivative security of record.
F2 On February 19, 2025, the Board of Directors of the Issuer approved an amendment to the respective 7% One-Year Convertible Promissory Notes ("Notes") allowing for the lender (Sushruta Pvt. Ltd.) in its sole discretion, to elect to exercise the conversion rights granted pursuant to the Notes at any time prior to (i) the Maturity Date; or (ii) the occurrence of a Qualified Sale Closing Date as such terms are defined in the Notes.
F3 Represents shares of Common Stock of the Issuer, issuable to Sushruta Pvt. Ltd upon conversion of the derivative securities listed in Table II.
F4 Conversion into shares of Common Stock of the Issuer as reported in Table I.