Form Type: 4

SEC EDGAR Link
Accession Number:0001140361-22-040926
Date:2022-11-09
Issuer: QUANTUM-SI INC (QSI)
Original Submission Date:

Reporting Person:

HAWKINS JEFFREY ALAN
C/O QUANTUM-SI INCORPORATED
530 OLD WHITFIELD STREET GUILFORD, CT 06437

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
STOCK OPTION (RIGHT TO BUY) 2.4 2022-11-09 deemed execution date A 4,170,000 (a) 2032-11-09 class a common stock 4,170,000 $2.40 4,170,000 direct
STOCK OPTION (RIGHT TO BUY) 2.4 2022-11-09 deemed execution date A 1,390,000 (a) 2032-11-09 class a common stock 1,390,000 $2.40 1,390,000 direct
STOCK OPTION (RIGHT TO BUY) 2.4 2022-11-09 deemed execution date A 1,390,000 (a) 2032-11-09 class a common stock 1,390,000 $2.40 1,390,000 direct
Footnotes
IDfootnote
f1 the shares underlying this option vest as to 20% on december 31, 2023, with the remainder vesting in 48 equal monthly installments at the end of each month thereafter, subject to mr. hawkins' continued service through the applicable vesting date.
f2 the shares underlying this option vest in full if within 1.5 years of october 10, 2022 the closing price of the issuer's class a common stock is at least $10.00 (as adjusted) for 20 out of 30 consecutive trading days, subject to mr. hawkins' continued service through the vesting date.
f3 the shares underlying this option vest in full if within 3.5 years of october 10, 2022 the closing price of the issuer's class a common stock is at least $20.00 (as adjusted) for 20 out of 30 consecutive trading days, subject to mr. hawkins' continued service through the vesting date.
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