SEC FORM
3
SEC Form 3
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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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
55 HUDSON YARDS |
28TH FLOOR |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 01/25/2021
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3. Issuer Name and Ticker or Trading Symbol
HealthCor Catalio Acquisition Corp.
[ HCAQ ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
X |
10% Owner |
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Officer (give title below) |
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Other (specify below) |
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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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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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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)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Class B ordinary shares |
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Class A ordinary shares |
5,070,000
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D
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1. Name and Address of Reporting Person*
55 HUDSON YARDS |
28TH FLOOR |
(Street)
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1. Name and Address of Reporting Person*
55 HUDSON YARDS, 28TH FLOOR |
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(Street)
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1. Name and Address of Reporting Person*
55 HUDSON YARDS, 28TH FLOOR |
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(Street)
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1. Name and Address of Reporting Person*
55 HUDSON YARDS, 28TH FLOOR |
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(Street)
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Explanation of Responses: |
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/s/ See signatures included in Exhibit 99.1 |
01/26/2021 |
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** 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. |
Exhibit 99.1
This Statement on Form 3 is filed jointly by HC Sponsor
LLC and HealthCor Group LLC. The principal business address of each of these reporting persons
is 55 Hudson Yards, 28th Floor, New York, New York 10001.
Name of Designated Filer: HC Sponsor LLC
Date of Event Requiring Statement: January 26, 2021
Issuer Name and Ticker or Trading Symbol: HealthCor
Catalio Acquisition Corp. (Nasdaq: HCAQ)
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HC
SPONSOR LLC |
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By:
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/s/
Anabelle Perez Gray |
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Name:
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Anabelle
Perez Gray |
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Title:
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Authorized
Signatory |
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HEALTHCOR
GROUP LLC |
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By:
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/s/
Arthur Cohen |
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Name:
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Arthur
Cohen |
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Title:
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Managing
Member |
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By:
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/s/
Joseph Healey |
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Name:
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Joseph
Healey |
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Title:
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Managing
Member |
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