0001104659-21-080921.txt : 20210614 0001104659-21-080921.hdr.sgml : 20210614 20210614184928 ACCESSION NUMBER: 0001104659-21-080921 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210610 FILED AS OF DATE: 20210614 DATE AS OF CHANGE: 20210614 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Drayton Claudia CENTRAL INDEX KEY: 0001629827 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39486 FILM NUMBER: 211016125 MAIL ADDRESS: STREET 1: 12988 VALLEY VIEW ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Quantum-Si Inc CENTRAL INDEX KEY: 0001816431 STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829] IRS NUMBER: 851388175 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 530 OLD WHITFIELD STREET CITY: GUILFORD STATE: CT ZIP: 06437 BUSINESS PHONE: (203) 458-7100 MAIL ADDRESS: STREET 1: 530 OLD WHITFIELD STREET CITY: GUILFORD STATE: CT ZIP: 06437 FORMER COMPANY: FORMER CONFORMED NAME: HighCape Capital Acquisition Corp. DATE OF NAME CHANGE: 20200629 4 1 tm2119549-14_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-06-10 0 0001816431 Quantum-Si Inc QSI 0001629827 Drayton Claudia C/O QUANTUM-SI INCORPORATED 530 OLD WHITFIELD STREET GUILFORD CT 06437 0 1 0 0 Chief Financial Officer Class A Common Stock 2021-06-10 4 A 0 95700 A 95700 D Stock Option (right to buy) 9.46 2021-06-10 4 A 0 191399 A 2031-04-21 Class A Common Stock 191399 191399 D Consists of restricted stock units ("RSUs"). Each RSU represents the right to receive one share of common stock upon vesting. The RSUs vest as to 25% on June 30, 2022, with the remainder vesting in 12 equal quarterly installments thereafter, subject to Ms. Drayton's continued service through the applicable vesting date. In connection with the closing of the transactions contemplated by the Business Combination Agreement, dated as of February 18, 2021, by and among HighCape Capital Acquisition Corp. ("HighCape"), Tenet Merger Sub, Inc., a Delaware corporation and wholly owned subsidiary of HighCape ("Merger Sub"), and Quantum-Si Incorporated, a Delaware corporation ("Quantum-Si"), pursuant to which Merger Sub merged with and into Quantum-Si (the "Merger"), with Quantum-Si surviving as a wholly-owned subsidiary of HighCape (which changed its name to "Quantum-Si Incorporated", the "Issuer"), these shares were received in exchange for 120,000 RSUs of Quantum-Si. The shares underlying this option vest as to 25% on June 30, 2022, with the remainder vesting in 36 equal monthly installments thereafter, subject to Ms. Drayton's continued service through the applicable vesting date. Received in connection with the Merger in exchange for a stock option to acquire 240,000 shares of Quantum-Si common stock for $7.54 per share. /s/ Christian LaPointe, Ph.D., Attorney-in-Fact 2021-06-14