0000950170-24-005019.txt : 20240117 0000950170-24-005019.hdr.sgml : 20240117 20240117160120 ACCESSION NUMBER: 0000950170-24-005019 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240116 FILED AS OF DATE: 20240117 DATE AS OF CHANGE: 20240117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lamendola Damien CENTRAL INDEX KEY: 0001884274 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40904 FILM NUMBER: 24538382 MAIL ADDRESS: STREET 1: 5701 EAST HILLSBOROUGH AVENUE STREET 2: SUITE 1417 CITY: TAMPA STATE: FL ZIP: 33610-5428 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Marpai, Inc. CENTRAL INDEX KEY: 0001844392 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 615 CHANNELSIDE DRIVE STREET 2: SUITE 207 CITY: TAMPA STATE: FL ZIP: 33602 BUSINESS PHONE: 646-303-3483 MAIL ADDRESS: STREET 1: 615 CHANNELSIDE DRIVE STREET 2: SUITE 207 CITY: TAMPA STATE: FL ZIP: 33602 4 1 ownership.xml 4 X0508 4 2024-01-16 0001844392 Marpai, Inc. MRAI 0001884274 Lamendola Damien C/O MARPAI, INC. 615 CHANNELSIDE DRIVE, SUITE 207 TAMPA FL 33602 true true true false Chief Executive Officer true Class A Common Stock 2024-01-16 4 P false 1100000 0.9201 A 1951306 I See Footnote Class A Common Stock 931674 I See Footnote Class A Common Stock 200000 D Held by HillCour Investment Fund, LLC, of which Mr. Lamendola is the Manager, and holds the voting and dispositive power over the securities held by HillCour Investment Fund, LLC. Held by WellEnterprises USA, LLC, a wholly owned subsidiary of HillCour, Inc., which is wholly owned by HillCour Holding Corporation, a corporation controlled by Mr. Lamendola. Mr. Lamendola holds the voting and dispositive power over the securities held by WellEnterprises USA, LLC. /s/ Damien Lamendola 2024-01-17