0001213900-23-079674.txt : 20230926 0001213900-23-079674.hdr.sgml : 20230926 20230926204709 ACCESSION NUMBER: 0001213900-23-079674 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230911 FILED AS OF DATE: 20230926 DATE AS OF CHANGE: 20230926 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SPANGENBERG ERICH CENTRAL INDEX KEY: 0001331984 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40058 FILM NUMBER: 231281648 MAIL ADDRESS: STREET 1: 73 595 EL PASEO STREET 2: SUITE 2204 CITY: PALM DESERT STATE: CA ZIP: 92260 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ELS 1960 Family, L.P. CENTRAL INDEX KEY: 0001993837 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40058 FILM NUMBER: 231281647 BUSINESS ADDRESS: STREET 1: 2323 VICTORY AVE., SUITE. 700 CITY: DALLAS STATE: TX ZIP: 75219 BUSINESS PHONE: 214-952-0052 MAIL ADDRESS: STREET 1: 2323 VICTORY AVE., SUITE. 700 CITY: DALLAS STATE: TX ZIP: 75219 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Spectral AI, Inc. CENTRAL INDEX KEY: 0001833498 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2515 MCKINNEY AVE #1000 CITY: DALLAS STATE: TX ZIP: 75201 BUSINESS PHONE: (212) 492-3000 MAIL ADDRESS: STREET 1: 2515 MCKINNEY AVE #1000 CITY: DALLAS STATE: TX ZIP: 75201 FORMER COMPANY: FORMER CONFORMED NAME: Rosecliff Acquisition Corp I DATE OF NAME CHANGE: 20201123 3 1 ownership.xml X0206 3 2023-09-11 0 0001833498 Spectral AI, Inc. MDAI 0001331984 SPANGENBERG ERICH 241 NAVAJO STREET MIAMI FL 33166 0 0 1 0 0001993837 ELS 1960 Family, L.P. 241 NAVAJO STREET MIAMI FL 33166 0 0 1 0 COMMON STOCK 577574 D COMMON STOCK 4158557 I BY ELS 1960 FAMILY, L.P. On September 11, 2023, Spectral AI, Inc., a Delaware corporation formerly known as Rosecliff Acquisition Corp. I (the "Issuer") and Spectral MD Holdings Ltd ("Spectral") consummated the business combination (the "Business Combination") pursuant to that certain business combination agreement, dated April 11, 2023 (as amended, the "Business Combination Agreement"). In connection with the closing of the Business Combination (the "Closing"), each 10.31 shares of common stock of Spectral outstanding immediately prior to the Closing were exchanged for one share of common stock of the Issuer, par value $0.0001 (the "Common Stock"). Erich Spangenberg (the "Spangenberg") received these shares of Common Stock in connection with the Closing for no additional consideration. ELS 1960 Family, L.P. is the record owner of these securities. Spangenberg is currently the majority limited partner of ELS 1960 Family, L.P. and the co-managing partner of ELS 1960 Family GP, LLC which also holds an interest in ELS 1960 Family, L.P. /s/ Erich Spangenberg 2023-09-26 /s/ Erich Spangenberg ELS 1960 Family, L.P., by ELS 1960 Family GP, LLC, its general partner by Erich Spangenberg, its co-managing partner 2023-09-26