Sec Form 3 Filing - Romano Sarah @ SS Innovations International, Inc. - 2026-08-03

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 Romano Sarah 2. Issuer Name and Ticker or Trading Symbol SS Innovations International, Inc. [ SSII] 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) _____ Director _____ 10% Owner X __ Officer (give title below) _____ Other (specify below) CFO (Last) (First) (Middle) 1600 SE 15TH STREET #512 3. Date of Earliest Transaction (MM/DD/YY) 08/03/2026 (Street) FORT LAUDERDALE, FL33316 4. If Amendment, Date Original Filed (MM/DD/YY) 6. Individual or Joint/Group Filing (Check Applicable Line) __ X __ Form filed by One Reporting Person _____ 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

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 Option to Purchase Common Stock $ 3.95 ( 1 ) 08/03/2031 Common Stock, $0.0001 par value 750,000 D

Reporting Owners Reporting Owner Name / Address Relationships Director 10% Owner Officer Other Romano Sarah 1600 SE 15TH STREET #512 FORT LAUDERDALE, FL33316 CFO Signatures /s/ Sarah Romano 08/04/2026 Signature of Reporting Person Date

Explanation of Responses:

( 1 )Represents options to purchase 750,000 shares of Common Stock (the "Options") granted to the Reporting Person on August 3, 2026 under the Issuer's 2026 Incentive Stock Plan (the "Incentive Plan"). The Options vest as follows: 250,000 shares vest on August 3, 2027 (the first anniversary of the grant date); thereafter, the Options vest in twenty-three (23) equal monthly installments of 20,833 shares each, with a final monthly installment of 20,841 shares, in each case subject to the Reporting Person's continued employment with the Issuer and the other terms and conditions of the Incentive Plan. In the event of a Change in Control (as defined in the Reporting Person's Employment Agreement) occurring prior to the full vesting of the Options, and provided the Reporting Person remains employed by the Issuer at such time, any unvested portion of the Options shall immediately vest in full.

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).

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