0000899243-21-030595.txt : 20210729 0000899243-21-030595.hdr.sgml : 20210729 20210729105646 ACCESSION NUMBER: 0000899243-21-030595 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210729 FILED AS OF DATE: 20210729 DATE AS OF CHANGE: 20210729 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RxSight I, LLC CENTRAL INDEX KEY: 0001697042 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40690 FILM NUMBER: 211125674 BUSINESS ADDRESS: STREET 1: 33465 FLYING L LANE CITY: STEAMBOAT SPRINGS STATE: CO ZIP: 80487 BUSINESS PHONE: 714-299-1864 MAIL ADDRESS: STREET 1: 33465 FLYING L LANE CITY: STEAMBOAT SPRINGS STATE: CO ZIP: 80487 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: RxSight, Inc. CENTRAL INDEX KEY: 0001111485 STANDARD INDUSTRIAL CLASSIFICATION: OPHTHALMIC GOODS [3851] IRS NUMBER: 943268801 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 COLUMBIA STREET STREET 2: SUITE 120 CITY: ALISO VIEJO STATE: CA ZIP: 92656 BUSINESS PHONE: 949-521-7822 MAIL ADDRESS: STREET 1: 100 COLUMBIA STREET STREET 2: SUITE 120 CITY: ALISO VIEJO STATE: CA ZIP: 92656 FORMER COMPANY: FORMER CONFORMED NAME: CALHOUN VISION INC DATE OF NAME CHANGE: 20000410 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-07-29 0 0001111485 RxSight, Inc. RXST 0001697042 RxSight I, LLC 11 LINDA ISLE NEWPORT BEACH CA 92660 0 0 1 0 Series H Preferred Stock Common Stock 2016778 D All shares of the Series H Preferred Stock, par value $0.001 per share, of the Issuer will automatically be converted on a one-for-one basis to shares of the Issuer's common stock, par value $0.001 per share ("Common Stock") prior to the closing of the Issuer's initial public offering of its Common Stock. /s/ William Link, Manager 2021-07-29