Form SC 13G - Statement of Beneficial Ownership by Certain Investors
November 13 2024 - 7:00AM
Edgar (US Regulatory)
Securities and Exchange
Commission
Washington,
D.C. 20549
Schedule 13G
(Rule 13d-102)
Information to be Included
in Statements Filed Pursuant
to § 240.13d-1(b), (c) and (d) and
Amendments Thereto Filed
Pursuant to § 240.13d-2
UNDER THE SECURITIES
EXCHANGE ACT OF 1934
(Amendment No. )*
Knightscope, Inc.
(Name of Issuer)
Class A Common Stock,
$0.001 par value
(Title of Class of
Securities)
49907V201
(CUSIP Number)
December 31, 2022
(Date of Event Which Requires
Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which
this Schedule is filed:
¨ Rule 13d-1(b)
¨ Rule 13d-1(c)
x Rule 13d-1(d)
* 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 the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall
not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”)
or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however,
see the Notes).
CUSIP
No. 49907V201 |
Schedule
13G |
Page 1
of 5 |
1 |
Names
of Reporting Persons
William Santana Li |
2 |
Check
the Appropriate Box if a Member of a Group |
(a) ¨
(b) ¨
|
3 |
SEC
Use Only
|
4 |
Citizenship or Place of Organization
United States of America |
Number
of Shares
Beneficially Owned by
Each Reporting Person
With |
5 |
Sole Voting Power
148,517 |
6 |
Shared Voting Power
32,693 |
7 |
Sole Dispositive Power
148,517 |
8 |
Shared Dispositive Power
32,693 |
9 |
Aggregate Amount Beneficially Owned by Each Reporting Person
181,210 |
10 |
Check if the Aggregate Amount in Row (9) Excludes Certain
Shares
Not Applicable |
11 |
Percent of Class Represented by Amount in Row 9
5.4% |
12 |
Type of Reporting Person
IN |
CUSIP
No. 49907V201 |
Schedule
13G |
Page 2
of 5 |
ITEM
1. | (a) |
Name
of Issuer: |
Knightscope, Inc. (the “Issuer”).
| (b) | Address of Issuer’s Principal Executive Offices: |
1070 Terra Bella Avenue, Mountain View, CA 94043.
ITEM
2. | (a) |
Name
of Person Filing: |
This
statement is filed on behalf of William Santana Li (the “Reporting Person”).
| (b) | Address or Principal Business Office: |
The business address of the Reporting Person is c/o Knightscope, Inc.,
1070 Terra Bella Avenue, Mountain View, CA 94043.
The Reporting Person is a citizen of the United States of
America.
| (d) | Title of Class of Securities: |
Class A common stock, par value $0.001 per share (“Class A
Common Stock”).
49907V201
Not applicable.
The ownership information below represents beneficial
ownership of 181,210 shares of Class A Common Stock as of the date of this filing, based upon 3,377,398 shares of Class A Common
Stock outstanding, which includes (i) 3,204,705 shares of Class A Common Stock outstanding as of September 30, 2024, as
disclosed by the Issuer; (ii) 142,260 shares of Class A Common Stock issuable upon conversion of Class B Common Stock
that may be deemed to be beneficially owned by the Reporting Person; and (iii) 30,433 shares of Class A Common Stock issuable
upon exercise of options that are exercisable within 60 days of the date of this filing and that may be deemed to be beneficially owned
by the Reporting Person.
CUSIP
No. 49907V201 |
Schedule
13G |
Page 3
of 5 |
(a) Amount beneficially owned:
The Reporting Person may be deemed to beneficially own of
181,210 shares of Class A Common Stock.
This amount includes the following securities held of record
by the reporting person: (i) 1,666 shares of Class A Common Stock; (ii) 140,000 shares of Class B common stock, par
value $0.001 per share (“Class B Common Stock”), which are convertible into an equal number of shares of Class A
Common Stock at the Reporting Person’s discretion; and (iii) 6,851 shares of Class A Common Stock underlying options
that are exercisable within 60 days of the date of this filing.
Additionally, the amount of Class A Common Stock beneficially
owned by the Reporting Person includes the following securities held of record by the Reporting Person’s spouse: (i) 2,260
shares of Class B Common Stock; (ii) 22,693 shares of Class A Common Stock underlying options that are exercisable within
60 days of the date of this filing; and (iii) 7,740 shares of Class B Common Stock underlying options that are exercisable
within 60 days of the date of this filing.
The amount of securities reported as beneficially owned by
the Reporting Person does not include 150,111 shares of Class A Common Stock underlying warrants over which the Reporting Person
has a proxy to vote the shares, once exercised. The warrants are currently exercisable, however the Reporting Person does not have the
ability to exercise the warrants.
(b) Percent
of class: 5.4%
(c) Number of shares as to which the person has:
| (i) | Sole power to vote or to direct the vote: 148,517 |
| (ii) | Shared power to vote or direct the vote: 32,693 |
| (iii) | Sole power to dispose or to direct the disposition of: 148,517 |
| (iv) | Shared power to dispose or to direct the disposition of: 32,693 |
| ITEM
5. | Ownership
of Five Percent or Less of a Class. |
Not applicable.
| ITEM
6. | Ownership
of More than Five Percent on Behalf of Another Person. |
Not applicable.
| ITEM
7. | Identification
and Classification of the Subsidiary Which Acquired the Security Being Reported on By the
Parent Holding Company. |
Not applicable.
CUSIP
No. 49907V201 |
Schedule
13G |
Page 4
of 5 |
| ITEM
8. | Identification
and Classification of Members of the Group. |
Not applicable.
| ITEM
9. | Notice
of Dissolution of Group. |
Not applicable.
Not applicable.
CUSIP
No. 49907V201 |
Schedule
13G |
Page 5
of 5 |
SIGNATURE
After reasonable inquiry and to the best of my
knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Date: November 13,
2024
|
William Santana Li |
|
|
|
/s/ William Santana
Li |
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