| |
Delaware
(State or other jurisdiction of
incorporation or organization) |
| |
87-1471855
(I.R.S. Employer
Identification Number) |
|
| |
Large Accelerated filer
☐
|
| |
Accelerated filer
☐
|
| | ||
| |
Non-accelerated filer
☒
|
| |
Smaller reporting company
☒
|
| | ||
| | | | |
Emerging growth company
☒
|
| | | |
| | | |
Page
|
| |||
| | | | | 1 | | | |
| | | | | 2 | | | |
| | | | | 3 | | | |
| | | | | 5 | | | |
| | | | | 6 | | | |
| | | | | 7 | | | |
| | | | | 10 | | | |
| | | | | 13 | | | |
| | | | | 16 | | | |
| | | | | 17 | | | |
| | | | | 18 | | | |
| | | | | 19 | | | |
| | | |
Beneficial Ownership Prior to the
Offering |
| | | | | | | |
Shares Beneficially
Owned After Offering |
| ||||||||||||||||||
|
Name of Selling Stockholder(1)
|
| |
Number of
Shares Beneficially Owned Prior to the Offered(2) |
| |
Percentage of
Outstanding Common Stock(3) |
| |
Number of
Shares Being Registered Hereby(4) |
| |
Number of
Shares Beneficially Owned After the Offering(2) |
| |
Percentage of
Outstanding Common Stock(3) |
| |||||||||||||||
|
Dr. Aaron Rollins(5)
|
| | | | 13,992,180 | | | | | | 24.82% | | | | | | 13,992,180 | | | | | | — | | | | | | —% | | |
|
VSCP EBS Aggregator, L.P.(6)
|
| | | | 13,575,862 | | | | | | 24.08% | | | | | | 13,575,862 | | | | | | — | | | | | | —% | | |
|
Vesey Street Capital Partners Healthcare Fund-A, LP(6)
|
| | | | 4,374,714 | | | | | | 7.76% | | | | | | 4,374,714 | | | | | | — | | | | | | —% | | |
|
EBS Aggregator Blocker Holdings, LLC(6)(7)
|
| | | | 11,373,604 | | | | | | 20.17% | | | | | | 11,373,604 | | | | | | — | | | | | | —% | | |
|
Total
|
| | |
|
43,316,360
|
| | | |
|
76.82%
|
| | | |
|
43,316,360
|
| | | | | — | | | | | | —% | | |
| |
SEC registration fee
|
| | | $ | 29,715 | | |
| |
Legal fees and expenses
|
| | | | * | | |
| |
Accounting fees and expenses
|
| | | | * | | |
| |
Printing fees and expenses
|
| | | | * | | |
| |
Transfer agent and trustee fees
|
| | | | * | | |
| |
Miscellaneous
|
| | | | * | | |
| |
Total
|
| | | $ | * | | |
| |
Exhibit
Number |
| |
Exhibit Title
|
|
| |
3.1(1)
|
| | Amended and Restated Certificate of Incorporation (incorporated by reference to Exhibit 3.1 of the Registrant’s Current Report on Form 8-K (File No. 001-40973) filed with the SEC on November 2, 2021) | |
| |
3.2(2)
|
| | | |
| |
4.1
|
| | Specimen Stock Certificate (incorporated by reference to Exhibit 4.1 of the Registrant’s Registration Statement on Form S-1 (File No. 333-260067) filed with the SEC on October 28, 2021) | |
| |
4.2
|
| | Registration Rights Agreement, dated November 2, 2021 (incorporated by reference to Exhibit 10.2 of the Registrant’s Current Report on Form 8-K (File No. 001-40973) filed with the SEC on November 2, 2021) | |
| |
5.1
|
| | | |
| |
23.1*
|
| | | |
| |
23.2
|
| | | |
| |
24.1
|
| | | |
| |
107
|
| | |
| | | | | AIRSCULPT TECHNOLOGIES, INC. | | ||||||
| | | | | By: | | | /s/ Todd Magazine | | |||
| | | | | | | | Name: Todd Magazine | | |||
| | | | | | | | Title: President and Chief Executive Officer | | |||
| |
SIGNATURES
|
| |
TITLE
|
| |
DATE
|
|
| |
*
Dr. Aaron Rollins
|
| |
Executive Chairman of the Board
|
| |
March 13, 2023
|
|
| |
/s/ Todd Magazine
Todd Magazine
|
| |
President, Chief Executive Officer, Director
(Principal Executive Officer) |
| |
March 13, 2023
|
|
| |
/s/ Dennis Dean
Dennis Dean
|
| |
Chief Financial Officer
(Principal Financial and Accounting Officer) |
| |
March 13, 2023
|
|
| |
*
Adam Feinstein
|
| |
Director
|
| |
March 13, 2023
|
|
| |
*
Daniel Sollof
|
| |
Director
|
| |
March 13, 2023
|
|
| |
*
Caroline Chu
|
| |
Director
|
| |
March 13, 2023
|
|
| |
*
Thomas Aaron
|
| |
Director
|
| |
March 13, 2023
|
|
| |
*
Kenneth Higgins
|
| |
Director
|
| |
March 13, 2023
|
|
| |
*
Pamela Netzky
|
| |
Director
|
| |
March 13, 2023
|
|
| |
*By:
/s/ Todd Magazine
Todd Magazine
Attorney-in-Fact |
| | | ||||