SEC Form SC 13D/A filed by Quantum-Si Incorporated (Amendment)
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The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter
disclosures provided in a prior cover page.
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SCHEDULE 13D
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CUSIP NO. 74765K105
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13D
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Page 1
of 7
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1
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NAMES OF REPORTING PERSONS
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Jonathan M. Rothberg, Ph.D.
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)
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☐
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(b)
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☐
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (SEE INSTRUCTIONS)
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PF1
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(D) OR 2(E)
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☐
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
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United States of America
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7
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SOLE VOTING POWER
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15,351,594 shares of Class A common stock and 19,937,500 shares of Class B common stock1
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8
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SHARED VOTING POWER
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2,190,489 shares of Class A common stock2
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9
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SOLE DISPOSITIVE POWER
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15,351,594 shares of Class A common stock and 19,937,500 shares of Class B common stock1
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10
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SHARED DISPOSITIVE POWER
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2,190,489 shares of Class A common stock2
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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17,542,083 shares of Class A common stock and 19,937,500 shares of Class B common stock12
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12
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
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14.4% of the Class A common stock and 100% of the Class B common stock3
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14
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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IN
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SCHEDULE 13D
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CUSIP NO. 74765K105
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13D
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Page 2
of 7
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1
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NAMES OF REPORTING PERSONS
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23rd Century Capital LLC
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)
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☐
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(b)
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☐
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (SEE INSTRUCTIONS)
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PF
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(D) OR 2(E)
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☐
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
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Delaware
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7
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SOLE VOTING POWER
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8
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SHARED VOTING POWER
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1,917,067 shares of Class A common stock
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9
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SOLE DISPOSITIVE POWER
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10
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SHARED DISPOSITIVE POWER
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1,917,067 shares of Class A common stock
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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1,917,067 shares of Class A common stock
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12
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
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1.6% of the Class A common stock4
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14
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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OO
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SCHEDULE 13D
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CUSIP NO. 74765K105
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13D
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Page 3
of 7
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1
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NAMES OF REPORTING PERSONS
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2012 JMR Trust Common, LLC
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)
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☐
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(b)
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☐
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||||
3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (SEE INSTRUCTIONS)
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PF
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|||
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(D) OR 2(E)
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☐
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||||
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||||
6
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CITIZENSHIP OR PLACE OF ORGANIZATION
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Delaware
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||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7
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SOLE VOTING POWER
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|||
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8
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SHARED VOTING POWER
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6,230,108 shares of Class A common stock
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9
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SOLE DISPOSITIVE POWER
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10
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SHARED DISPOSITIVE POWER
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6,230,108 shares of Class A common stock
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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6,230,108 shares of Class A common stock
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||||
12
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
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5.1% of the Class A common stock5
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14
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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OO
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SCHEDULE 13D
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CUSIP NO. 74765K105
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13D
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Page 4
of 7
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1
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NAMES OF REPORTING PERSONS
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4C Holdings I, LLC
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)
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☐
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(b)
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☐
|
||||
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|
||||
3
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SEC USE ONLY
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|||
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||||
4
|
SOURCE OF FUNDS (SEE INSTRUCTIONS)
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|
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PF
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|||
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|
||||
5
|
CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(D) OR 2(E)
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☐
|
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||||
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||||
6
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CITIZENSHIP OR PLACE OF ORGANIZATION
|
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|
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Delaware
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|
|||
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|
||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7
|
SOLE VOTING POWER
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|||
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||||
8
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SHARED VOTING POWER
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17,943,750 shares of Class B common stock
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9
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SOLE DISPOSITIVE POWER
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|||
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||||
10
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SHARED DISPOSITIVE POWER
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17,943,750 shares of Class B common stock
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|||
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||||
11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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17,943,750 shares of Class B common stock
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|||
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||||
12
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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||||
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||||
13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
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90% of the Class B common stock6
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14
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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OO
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SCHEDULE 13D
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CUSIP NO. 74765K105
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13D
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Page 5
of 7
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1
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NAMES OF REPORTING PERSONS
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4C Holdings V, LLC
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|||
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||||
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)
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☐
|
||
(b)
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☐
|
||||
|
|
||||
3
|
SEC USE ONLY
|
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||
|
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|||
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|
||||
4
|
SOURCE OF FUNDS (SEE INSTRUCTIONS)
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|
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PF
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|
|
|||
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||||
5
|
CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(D) OR 2(E)
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|
☐
|
||
|
|
||||
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|
||||
6
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CITIZENSHIP OR PLACE OF ORGANIZATION
|
|
|
||
Delaware
|
|
|
|||
|
|
||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7
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SOLE VOTING POWER
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|||
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||||
8
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SHARED VOTING POWER
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1,993,750 shares of Class B common stock
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9
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SOLE DISPOSITIVE POWER
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10
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SHARED DISPOSITIVE POWER
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1,993,750 shares of Class B common stock
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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1,993,750 shares of Class B common stock
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12
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
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10% of the Class B common stock 7
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14
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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OO
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SCHEDULE 13D
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CUSIP NO. 74765K105
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13D
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Page 6
of 7
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Item 1. |
Security and Issuer.
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Item 2. |
Identity and Background.
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Item 3. |
Source and Amount of Funds or Other Consideration.
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Item 4. |
Purpose of Transaction.
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Item 5. |
Interest in Securities of the Issuer.
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Item 6. |
Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer.
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Item 7. |
Material to be Filed as Exhibits.
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Exhibit No.
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Description
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Rule 10b5-1 Trading Plan.
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Dated: September 13, 2023
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/s/ Jonathan M. Rothberg
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Jonathan M. Rothberg, Ph.D.
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23rd Century Capital LLC
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By:
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/s/ Jonathan M. Rothberg | ||
Name: Jonathan M. Rothberg, Ph.D.
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Title: Member
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2012 JMR Trust Common, LLC
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By:
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/s/ Jonathan M. Rothberg | ||
Name: Jonathan M. Rothberg, Ph.D.
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Title: Manager
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4C Holdings I, LLC
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By:
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/s/ Jonathan M. Rothberg | ||
Name: Jonathan M. Rothberg, Ph.D.
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Title: Manager
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4C Holdings V, LLC
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By:
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/s/ Jonathan M. Rothberg | ||
Name: Jonathan M. Rothberg, Ph.D.
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Title: Manager
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