SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
X
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Andretti Sponsor LLC

(Last) (First) (Middle)
C/O ZAPATA COMPUTING HOLDINGS INC
100 FEDERAL STREET, 20TH FLOOR

(Street)
BOSTON MA 02110

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Zapata Computing Holdings Inc. [ ZPTA ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) X Other (specify below)
See Remarks
3. Date of Earliest Transaction (Month/Day/Year)
03/28/2024
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 03/28/2024 J(1) 4,189,077 A (1) 4,189,077 D(2)
Common Stock 03/28/2024 J(3) 652,214 D (3) 3,536,863 D(2)
Common Stock 03/28/2024 A(4) 34,744 A (4) 34,744 D(5)
Common Stock 03/28/2024 J(6) 243,368 A (6) 243,368 D(7)
Common Stock 03/28/2024 J(8) 370,923 A (8) 370,923 D(9)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Class B Ordinary Shares (10) 03/28/2024 J(1) 4,189,077 (10) (10) Common Stock 4,189,077 (1) 0 D(2)
1. Name and Address of Reporting Person*
Andretti Sponsor LLC

(Last) (First) (Middle)
C/O ZAPATA COMPUTING HOLDINGS INC
100 FEDERAL STREET, 20TH FLOOR

(Street)
BOSTON MA 02110

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
Officer (give title below) X Other (specify below)
See Remarks
1. Name and Address of Reporting Person*
ANDRETTI MICHAEL

(Last) (First) (Middle)
C/O ZAPATA COMPUTING HOLDINGS INC
100 FEDERAL STREET, 20TH FLOOR

(Street)
BOSTON MA 02110

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
Officer (give title below) X Other (specify below)
See Remarks
1. Name and Address of Reporting Person*
SANDBROOK WILLIAM J

(Last) (First) (Middle)
C/O ZAPATA COMPUTING HOLDINGS INC
100 FEDERAL STREET, 20TH FLOOR

(Street)
BOSTON MA 02110

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
Officer (give title below) X Other (specify below)
See Remarks
1. Name and Address of Reporting Person*
Brown William Matthew

(Last) (First) (Middle)
C/O ZAPATA COMPUTING HOLDINGS INC
100 FEDERAL STREET, 20TH FLOOR

(Street)
BOSTON MA 02110

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
Officer (give title below) X Other (specify below)
See Remarks
Explanation of Responses:
1. Pursuant to the Business Combination Agreement, dated as of September 6, 2023, among the Issuer and certain other parties (the "Business Combination Agreement"), the Issuer's Class B ordinary shares, par value $0.0001 per share (the "Class B Ordinary Shares"), automatically converted into shares of the Issuer's common stock, par value $0.0001 per share ("common stock"), on a one-for-one basis upon the closing of the transactions contemplated by the Business Combination Agreement (the "Closing").
2. Andretti Sponsor LLC (the "Sponsor") is the record holder of such shares of common stock. Mr. Andretti, Mr. Sandbrook and Mr. Brown are members of the Sponsor and (together with other members of the Sponsor) share voting and investment discretion with respect to the shares of common stock held of record by the Sponsor. In addition, each of Mr. Andretti, Mr. Sandbrook and Mr. Brown may be entitled to distributions of common stock and private placement warrants from the Sponsor following the consummation of the initial business combination. Each of Mr. Andretti, Mr. Sandbrook and Mr. Brown disclaims any beneficial ownership of the securities held by the Sponsor, other than to the extent of any pecuniary interest he may have therein, directly or indirectly.
3. Pursuant to certain Non-Redemption Agreements among the Sponsor and certain other parties, upon the Closing the Sponsor transferred an aggregate of 652,214 shares of common stock to such other parties.
4. Received in connection with the Issuer's business combination (the "Merger") with Zapata Computing, Inc. ("Private Zapata"). In accordance with a Note Exchange Agreement, dated March 28, 2024, by and among Mr. Brown, the Issuer and Private Zapata, at the effective time of the Merger, Mr. Brown exchanged an outstanding Senior Secured Promissory Note between Mr. Brown and Private Zapata, with an aggregate principal amount, together with then-outstanding interest, of $150,000, for 34,744 shares of Common Stock, at a conversion price of $4.50 per share.
5. Mr. Brown is the record holder of such shares of common stock.
6. Received in connection with the Merger with Private Zapata. In accordance with a Note Exchange Agreement, dated March 28, 2024, by and among Mr. Sandbrook, the Issuer and Private Zapata, at the effective time of the Merger, Mr. Sandbrook exchanged an outstanding Senior Secured Promissory Note between Mr. Sandbrook and Private Zapata, with an aggregate principal amount, together with then-outstanding interest, of $1,050,684.93, for 243,368 shares of Common Stock, at a conversion price of $4.50 per share.
7. Mr. Sandbrook is the record holder of such shares of common stock.
8. Received in connection with Merger with Private Zapata. In accordance with a Note Exchange Agreement, dated March 28, 2024, by and among Mr. Andretti, the Issuer and Private Zapata, at the effective time of the Merger, Mr. Andretti exchanged an outstanding Senior Secured Promissory Note between Mr. Andretti and Private Zapata, with an aggregate principal amount, together with then-outstanding interest, of $1,601,369.86, for 370,923 shares of Common Stock, at a conversion price of $4.50 per share.
9. Mr. Andretti is the record holder of such shares of common stock.
10. The Issuer's Class B Ordinary Shares were convertible for the Issuer's shares of Class A ordinary shares, par value $0.0001 per share, as described under the heading "Description of Securities" in the Issuer's Registration Statement on Form S-1 (File No. 333-254627) (the "Registration Statement") and had no expiration date. As described above, the Issuer's Class B Ordinary Shares were automatically converted into shares of Common Stock on a one-for-one basis upon the Closing.
Remarks:
William M. Brown is a member of the Board of Directors of the Issuer. Michael Andretti and William J. Sandbrook are no longer subject to Section 16.
/s/ See Signatures Included in Exhibit 99.1 04/01/2024
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.