| FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 08/03/2026 |
3. Issuer Name and Ticker or Trading Symbol
SS Innovations International, Inc. [ SSII ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Beneficially Owned | |||
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| 1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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| 1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
| Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
| Option to Purchase Common Stock | (1) | 08/03/2031 | Common Stock, $0.0001 par value | 750,000 | $3.95 | D | |
| Explanation of Responses: |
| 1. Represents options to purchase 750,000 shares of Common Stock (the "Options") granted to the Reporting Person on August 3, 2026 under the Issuer's 2026 Incentive Stock Plan (the "Incentive Plan"). The Options vest as follows: 250,000 shares vest on August 3, 2027 (the first anniversary of the grant date); thereafter, the Options vest in twenty-three (23) equal monthly installments of 20,833 shares each, with a final monthly installment of 20,841 shares, in each case subject to the Reporting Person's continued employment with the Issuer and the other terms and conditions of the Incentive Plan. In the event of a Change in Control (as defined in the Reporting Person's Employment Agreement) occurring prior to the full vesting of the Options, and provided the Reporting Person remains employed by the Issuer at such time, any unvested portion of the Options shall immediately vest in full. |
| /s/ Sarah Romano | 08/04/2026 | |
| ** 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 5 (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. | ||