SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
1. Name and Address of Reporting Person*
Strahan Gary Eugene

(Last) (First) (Middle)
C/O MULTISENSOR AI HOLDINGS, INC.
2105 WEST CARDINAL DRIVE

(Street)
BEAUMONT TX 77705

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
MultiSensor AI Holdings, Inc. [ MSAI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
03/31/2024
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 03/31/2024 C(1) 205,079 A (1) 305,079 I By Trust(2)
Common Stock 6,015,938 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Convertible Promissory Note $10 03/31/2024 D $1,000,000 12/19/2023 12/19/2026 Common Stock 100,000 (3) $0 I By Trust(2)
Convertible Promissory Note $5 03/31/2024 A $1,000,000 12/19/2023 12/19/2026 Common Stock 205,079 (3) $1,000,000 I By Trust(2)
Convertible Promissory Note $5 03/31/2024 C(1) $1,000,000 12/19/2023 12/19/2026 Common Stock 205,079 $0 $0 I By Trust(2)
Explanation of Responses:
1. On March 31, 2024, the Trust (defined below) acquired 205,079 shares of Common Stock from the Issuer pursuant to the conversion of a promissory note with an aggregate principal balance of $1,000,000. The conversion was structured to comply with the provisions of Rule 16b-3(d) promulgated under the Securities Exchange Act of 1934, as amended. Mr. Strahan disclaims beneficial ownership of the securities held by the Trust except to the extent of his pecuniary interest therein, if any. The promissory note converted into shares of common stock at a price of $5.00 per share for the outstanding principal amount, and $10.00 per share for the accrued but unpaid interest.
2. Represents shares held by the Jill A. Blashek Revocable Trust U/A May 8, 2004, as amended and restated (the "Trust"), of which Jill A. Blashek, the wife of Gary Strahan, is trustee.
3. Represents an amendment to the exercise price of the convertible promissory note.
/s/ Stephen Karl Guidry, Attorney-in-Fact 04/02/2024
** 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 4 (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.

Grafico Azioni SportsMap Tech Acquisition (NASDAQ:SMAPU)
Storico
Da Nov 2024 a Dic 2024 Clicca qui per i Grafici di SportsMap Tech Acquisition
Grafico Azioni SportsMap Tech Acquisition (NASDAQ:SMAPU)
Storico
Da Dic 2023 a Dic 2024 Clicca qui per i Grafici di SportsMap Tech Acquisition