Sec Form 3 Filing - Tarsadia Capital, LLC @ Cue Health Inc. - 2023-09-15

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Tarsadia Capital, LLC
2. Issuer Name and Ticker or Trading Symbol
Cue Health Inc. [ HLTH]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
10 EAST 53RD STREET, 23RD FLOOR
3. Date of Earliest Transaction (MM/DD/YY)
09/15/2023
(Street)
NEW YORK, NY10022
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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, par value $0.00001 per share ("Common Stock") ( 1 ) ( 2 ) 10,684,791 I By: TCCS I, LP; TC GP, LLC and Tarsadia Capital, LLC. See footnotes ( 3 ) ( 6 )
Common Stock ( 1 ) ( 2 ) 3,230,779 I By: NVGA I, LLC and Tarsadia Investments, LLC. See footnotes ( 4 ) ( 6 )
Common Stock ( 1 ) ( 2 ) 3,612,913 I By: CP (HLTH), LLC and Tarsadia Investments, LLC. See footnotes ( 5 ) ( 6 )
Common Stock ( 1 ) ( 2 ) 1,068,174 I By: TUP Investments, L.P. See footnote ( 6 )
Common Stock ( 1 ) ( 2 ) 3,319,000 I By: T-Twelve Holdings, LLC and TFC Manager, LLC. See footnote ( 7 )
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Tarsadia Capital, LLC
10 EAST 53RD STREET
23RD FLOOR
NEW YORK, NY10022
X
TCCS I, LP
10 EAST 53RD STREET
23RD FLOOR
NEW YORK, NY10022
X
TC GP, LLC
10 EAST 53RD STREET
23RD FLOOR
NEW YORK, NY10022
X
Tarsadia Investments, LLC
520 NEWPORT CENTER DR.
21ST FLOOR
NEWPORT BEACH, CA92660
X
NVGA I, LLC
520 NEWPORT CENTER DR.
21ST FLOOR
NEWPORT BEACH, CA92660
X
CP (HLTH), LLC
520 NEWPORT CENTER DR.
21ST FLOOR
NEWPORT BEACH, CA92660
X
TUP Investments, L.P.
520 NEWPORT CENTER DR.
21ST FLOOR
NEWPORT BEACH, CA92660
X
T-Twelve Holdings, LLC
C/O SIERRA FIDUCIARY SUPPORT SERVICES
100 WEST LIBERTY ST., SUITE 750
RENO, NV89501
X
TFC Manager, LLC
C/O SIERRA FIDUCIARY SUPPORT SERVICES
100 WEST LIBERTY ST., SUITE 750
RENO, NV89501
X
Signatures
TCCS I, LP, By: TC GP, LLC, its General Partner /s/ Vikram Patel, Authorized Signatory 09/22/2023
Signature of Reporting Person Date
TC GP, LLC, By: /s/ Vikram Patel, Authorized Signatory 09/22/2023
Signature of Reporting Person Date
TARSADIA CAPITAL, LLC, By: /s/ Vikram Patel, Head of Tarsadia Capital, LLC 09/22/2023
Signature of Reporting Person Date
NVGA I, LLC, By: TI Manager, LLC, its Manager /s/ Vikram Patel, Managing Director 09/22/2023
Signature of Reporting Person Date
CP (HLTH), LLC, By: TI Manager, LLC, its Manager /s/ Vikram Patel, Managing Director 09/22/2023
Signature of Reporting Person Date
TARSADIA INVESTMENTS, LLC, By: /s/ Mitchell Caplan, President 09/22/2023
Signature of Reporting Person Date
TUP INVESTMENTS, L.P., By: TUP Three, LLC, its General Partner /s/ Vikram Patel, Manager 09/22/2023
Signature of Reporting Person Date
T-TWELVE HOLDINGS, LLC, By: TFC Manager, LLC, its Manager /s/ Gautam Patel, Manager 09/22/2023
Signature of Reporting Person Date
TFC MANAGER, LLC, By: /s/ Gautam Patel, Manager 09/22/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )This Form 3 is filed jointly by TCCS I, LP ("TCCS"), TC GP, LLC ("TC GP"), Tarsadia Capital, LLC ("Tarsadia Capital"), Tarsadia Investments, LLC ("Tarsadia Investments"), NVGA I, LLC ("NVGA"), CP (HLTH), LLC ("CP HLTH"), TUP Investments, L.P. ("TUP Investments"), T-Twelve Holdings, LLC ("T-Twelve Holdings"), and TFC Manager, LLC ("TFC Manager"). Each of the foregoing is referred to as a "Reporting Person" and collectively as the "Reporting Persons."
( 2 )Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein except to the extent of its pecuniary interest therein, if any, and the filing of this Form 3 shall not be construed as an admission that any Reporting Person is the beneficial owner of any such securities for purposes of Section 16(a) of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), or for any other purpose. Each of the Reporting Persons may be deemed to be a member of a "group" for purposes of Section 13(d) of the Exchange Act that may be deemed to collectively beneficially own over 10% of the Issuer's outstanding securities.
( 3 )Securities held by TCCS. TC GP is the general partner of TCCS. Tarsadia Capital is the investment manager to TCCS.
( 4 )Securities held by NVGA. Tarsadia Investments is the investment manager to NVGA.
( 5 )Securities held by CP HLTH. Tarsadia Investments is the investment manager to CP HLTH.
( 6 )Tushar Patel, a United States citizen is the ultimate control person of each of TCCS, TC GP, Tarsadia Capital, NVGA, CP HLTH, Tarsadia Investments, and TUP Investments.
( 7 )Securities held by T-Twelve Holdings. TFC Manager is the manager of T-Twelve Holdings. Gautam Patel, a United States citizen, is the ultimate control person of each of TFC Manager and T-Twelve Holdings.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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