0001209191-23-039031.txt : 20230622 0001209191-23-039031.hdr.sgml : 20230622 20230622160636 ACCESSION NUMBER: 0001209191-23-039031 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230621 FILED AS OF DATE: 20230622 DATE AS OF CHANGE: 20230622 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gonzalez Edmundo CENTRAL INDEX KEY: 0001514678 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40904 FILM NUMBER: 231033385 MAIL ADDRESS: STREET 1: C/O SELWAY CAPITAL ACQUISITION CORP. STREET 2: 74 GRAND AVENUE, 2ND FLOOR CITY: ENGLEWOOD STATE: NJ ZIP: 07631 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Marpai, Inc. CENTRAL INDEX KEY: 0001844392 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 5701 EAST HILLSBOROUGH AVENUE, SUITE 141 CITY: TAMPA STATE: FL ZIP: 33610 BUSINESS PHONE: 646-303-3483 MAIL ADDRESS: STREET 1: 5701 EAST HILLSBOROUGH AVENUE, SUITE 141 CITY: TAMPA STATE: FL ZIP: 33610 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-06-21 0 0001844392 Marpai, Inc. MRAI 0001514678 Gonzalez Edmundo C/O MARPAI, INC. 5701 EAST HILLSBROUGH AVE., SUITE 1417 TAMPA FL 33610-5428 1 1 0 0 Chief Executive Officer 0 Class A Common Stock 2023-06-21 4 P 0 20000 0.5051 A 888189 D Class A Common Stock 313110 I See Footnote Pursuant to the Agreement Relating to Voting Power between Co-Founders of Marpai, Inc. and Grant of a Power of Attorney and Proxy, dated June 28, 2021 (the "Power of Attorney and Proxy"), (i) HillCour Investment Fund, LLC and WellEnterprises USA, LLC (together, the "HillCour Founding Group") and (ii) Eli David, Yaron Eitan, Edmundo Gonzalez and Grays West Ventures, LLC (collectively, the "Grays Founding Group"), share voting power over a total of 7,826,531 shares of Marpai, Inc.'s Class A common stock with respect to certain specified matters. As a result of the Power of Attorney and Proxy, the HillCour Founding Group and Grays Founding Group, of which the reporting person is a member, are deemed to be a "group" under Rule 13d-5(d) of the Exchange Act. Held by Grays West Ventures LLC ("Grays West"), of which Mr. Gonzalez is the sole member, and has the sole voting and dispositive power over the shares held by Grays West. /s/ Edmundo Gonzalez 2023-06-22