0001213900-23-044163.txt : 20230530 0001213900-23-044163.hdr.sgml : 20230530 20230530201422 ACCESSION NUMBER: 0001213900-23-044163 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20230518 FILED AS OF DATE: 20230530 DATE AS OF CHANGE: 20230530 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mazzola John CENTRAL INDEX KEY: 0001430464 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39384 FILM NUMBER: 23978600 MAIL ADDRESS: STREET 1: TRANSMEDICS INC STREET 2: 200 MINUTEMAN ROAD CITY: ANDOVER STATE: MA ZIP: 01810 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Vicarious Surgical Inc. CENTRAL INDEX KEY: 0001812173 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 78 FOURTH AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: (617) 868-1700 MAIL ADDRESS: STREET 1: 78 FOURTH AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 FORMER COMPANY: FORMER CONFORMED NAME: D8 Holdings Corp. DATE OF NAME CHANGE: 20200514 3 1 ownership.xml X0206 3 2023-05-18 0 0001812173 Vicarious Surgical Inc. RBOT 0001430464 Mazzola John C/O VICARIOUS SURGICAL, INC. 78 FOURTH AVENUE WALTHAM MA 02451 0 1 0 0 Chief Operating Officer Stock Option (right to buy) 4.11 2032-04-13 Class A Common Stock 320000 D Stock Option (right to buy) 4.44 2032-08-17 Class A Common Stock 40000 D The shares underlying this option vested as to 25% of the award on March 14, 2023, with the remainder vesting in equal monthly installments over the following 36 months, subject to the Reporting Person's continued service through the applicable vesting date. The shares underlying this option vest in equal monthly installments over 48 months beginning on August 17, 2022, subject to the Reporting Person's continued service through the applicable vesting date. Exhibit 24.1 - Power of Attorney /s/ June Morris, Attorney-in-Fact 2023-05-30 EX-24.1 2 ea179467ex24-1_vicarious.htm POWER OF ATTORNEY

Exhibit 24.1

 

POWER OF ATTORNEY

 

 

Know all by these presents, that the undersigned hereby constitutes and appoints June Morris of Vicarious Surgical Inc. (the “Company”), Edwin C. Pease, Jason McCaffrey, Page Hubben, Francesca McGuire, Justin Omalev, Robyn Frattali, Nyisha Shakur, Brenda Meyette and Tanya Sylla, each of Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C., signing singly, with full power of substitution, the undersigned’s true and lawful attorney-in-fact to:

 

(1)execute for and on behalf of the undersigned, forms and authentication documents for EDGAR Filing Access;

 

(2)do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such forms and authentication documents;

 

(3)execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer, director and/or 10% shareholder of the Company, Forms 3, 4 and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder

 

(4)do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4 or 5 and timely file such with the United States Securities and Exchange Commission and any stock exchange or similar authority; and

 

(5)take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact, on behalf of the undersigned pursuant to this Power of Attorney, shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact’s discretion.

 

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact’s substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, is not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

 

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

 

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed this 17th day of May, 2023.

 

  /s/ John Mazzola
  John Mazzola