Sudhir Srivastava - Feb 13, 2024 Form 4 Insider Report for SS Innovations International, Inc. (SSII)

Role: Chairman and CEO, Director, 10%+ Owner
Signature: /s/ Sudhir Srivastava
Stock symbol: SSII
Transactions as of: Feb 13, 2024
Transactions value $: $1,000,000
Form type: 4
Date filed: 2/15/2024, 04:06 PM
Previous filing: Nov 29, 2023
Next filing: Jul 3, 2024
SEC: View on sec.gov

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	SSII	Option to Purchase Common Stock	Award	$0	+3.35M	+1675.11%	$0.00	3.55M	Feb 13, 2024	Common Stock	3.55M	$5.00	Direct	F1
transaction	SSII	7% Convertible One-Year Promissory Note	Award	$1M	+1		$1,000,000.00^*	1	Feb 14, 2024	Common Stock	225K	$4.45	Held by Sushruta Pvt. Ltd.	F1, F2

Showing 1 to 2 of 2 entries

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Represents Options to Purchase Common Stock granted under the Issuer's 2016 Incentive Stock Plan. The Options are exercisable in five equal annual instalments commencing on the date of grant.
F2	The reporting person has a 100% beneficial interest in Sushruta Pvt. Ltd., which holds the derivative security of record.