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