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[Form 3] SURF AIR MOBILITY INC. Initial Statement of Beneficial Ownership

Filing Impact
(Low)
Filing Sentiment
(Neutral)
Form Type
3

Surf Air Mobility Inc. (SRFM) filed a Form 3 initial statement for a reporting person serving as a Director, stating no securities are beneficially owned.

The date of the event requiring the statement was 10/08/2025. The filing was executed by /s/ Douglas Sugimoto as attorney-in-fact for Shawn Pelsinger, with an accompanying Exhibit 24.1 Power of Attorney, and was signed on 10/20/2025.

Surf Air Mobility Inc. (SRFM) ha depositato una dichiarazione iniziale Form 3 per una persona che riferisce come Direttore, dichiarando nessun titolo posseduto direttamente o indirettamente.

La data dell'evento che richiedeva la dichiarazione era 10/08/2025. La presentazione è stata eseguita da /s/ Douglas Sugimoto in qualità di procuratore per Shawn Pelsinger, con un allegato Exhibit 24.1 Power of Attorney, ed è stata firmata il 10/20/2025.

Surf Air Mobility Inc. (SRFM) presentó una declaración inicial Form 3 para una persona reportante que sirve como Director, declarando no se poseen valores de forma beneficiosa.

La fecha del evento que requiere la declaración fue 10/08/2025. La presentación fue ejecutada por /s/ Douglas Sugimoto como apoderado de Shawn Pelsinger, con un adjunto Exhibit 24.1 Power of Attorney, y fue firmada el 20/10/2025.

Surf Air Mobility Inc. (SRFM) 는 보고자 자격으로 이사로 재직하는 보고자에 대한 Form 3 최초 진술서를 제출했으며, 이익 소유 증권이 없음을 명시합니다.

해당 진술서를 요구하는 사건의 날짜는 2025년 10월 8일입니다. 서류는 /s/ Douglas Sugimoto가 Shawn Pelsinger의 대리인으로서 서명하였으며, 첨부된 Exhibit 24.1 Power of Attorney와 함께 2025년 10월 20일에 서명되었습니다.

Surf Air Mobility Inc. (SRFM) a déposé une déclaration initiale Form 3 pour une personne à signaler exerçant le rôle de Directeur, indiquant aucun titre détenu bénéficiairement.

La date de l'événement nécessitant la déclaration était le 08/10/2025. Le dépôt a été exécuté par /s/ Douglas Sugimoto en tant que mandataire de Shawn Pelsinger, avec une pièce jointe Exhibit 24.1 Power of Attorney, et a été signé le 20/10/2025.

Surf Air Mobility Inc. (SRFM) hat eine Form 3 Erstmitteilung für eine meldepflichtige Person eingereicht, die als Direktor tätig ist, und erklärt, dass kein Wertpapier vorteilhaft besitzt.

Das Datum des Ereignisses, das die Mitteilung erforderlich machte, war der 08.10.2025. Die Einreichung wurde von /s/ Douglas Sugimoto als Bevollmächtigter für Shawn Pelsinger ausgeführt, mit dem beigefügten Exhibit 24.1 Power of Attorney, und am 20.10.2025 unterzeichnet.

Surf Air Mobility Inc. (SRFM) قدمت بيان Form 3 الأول لشخص مُبلغ يعمل كـ مدير، مُعلنةً لا توجد أية أوراق مالية مملوكة بشكل مفيد.

تاريخ الحدث الذي يتطلب البيان كان 08/10/2025. تم تنفيذ التقديم بواسطة /s/ Douglas Sugimoto بصفته وكيلًا عن Shawn Pelsinger، مع مرفق Exhibit 24.1 Power of Attorney، ووقع في 20/10/2025.

Surf Air Mobility Inc. (SRFM) 已提交 Form 3 初始声明,供作为 董事 的报告人使用,声明 没有实际拥有的证券

需要声明的事件日期为 2025/10/08。该申报由 /s/ Douglas Sugimoto 作为 Shawn Pelsinger 的代理人执行,附有 Exhibit 24.1 Power of Attorney,并于 2025/10/20 签署。

Positive
  • None.
Negative
  • None.

Surf Air Mobility Inc. (SRFM) ha depositato una dichiarazione iniziale Form 3 per una persona che riferisce come Direttore, dichiarando nessun titolo posseduto direttamente o indirettamente.

La data dell'evento che richiedeva la dichiarazione era 10/08/2025. La presentazione è stata eseguita da /s/ Douglas Sugimoto in qualità di procuratore per Shawn Pelsinger, con un allegato Exhibit 24.1 Power of Attorney, ed è stata firmata il 10/20/2025.

Surf Air Mobility Inc. (SRFM) presentó una declaración inicial Form 3 para una persona reportante que sirve como Director, declarando no se poseen valores de forma beneficiosa.

La fecha del evento que requiere la declaración fue 10/08/2025. La presentación fue ejecutada por /s/ Douglas Sugimoto como apoderado de Shawn Pelsinger, con un adjunto Exhibit 24.1 Power of Attorney, y fue firmada el 20/10/2025.

Surf Air Mobility Inc. (SRFM) 는 보고자 자격으로 이사로 재직하는 보고자에 대한 Form 3 최초 진술서를 제출했으며, 이익 소유 증권이 없음을 명시합니다.

해당 진술서를 요구하는 사건의 날짜는 2025년 10월 8일입니다. 서류는 /s/ Douglas Sugimoto가 Shawn Pelsinger의 대리인으로서 서명하였으며, 첨부된 Exhibit 24.1 Power of Attorney와 함께 2025년 10월 20일에 서명되었습니다.

Surf Air Mobility Inc. (SRFM) a déposé une déclaration initiale Form 3 pour une personne à signaler exerçant le rôle de Directeur, indiquant aucun titre détenu bénéficiairement.

La date de l'événement nécessitant la déclaration était le 08/10/2025. Le dépôt a été exécuté par /s/ Douglas Sugimoto en tant que mandataire de Shawn Pelsinger, avec une pièce jointe Exhibit 24.1 Power of Attorney, et a été signé le 20/10/2025.

Surf Air Mobility Inc. (SRFM) hat eine Form 3 Erstmitteilung für eine meldepflichtige Person eingereicht, die als Direktor tätig ist, und erklärt, dass kein Wertpapier vorteilhaft besitzt.

Das Datum des Ereignisses, das die Mitteilung erforderlich machte, war der 08.10.2025. Die Einreichung wurde von /s/ Douglas Sugimoto als Bevollmächtigter für Shawn Pelsinger ausgeführt, mit dem beigefügten Exhibit 24.1 Power of Attorney, und am 20.10.2025 unterzeichnet.

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
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Pelsinger Shawn Kirby

(Last) (First) (Middle)
12111 S. CRENSHAW BLVD.

(Street)
HAWTHORNE CA 90250

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/08/2025
3. Issuer Name and Ticker or Trading Symbol
SURF AIR MOBILITY INC. [ SRFM ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
Remarks:
Exhibit 24.1 - Power of Attorney
No securities are beneficially owned.
/s/ Douglas Sugimoto, as attorney-in-fact for Shawn Pelsinger 10/20/2025
** 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.

FAQ

What did SRFM file?

SRFM filed a Form 3, the initial statement of beneficial ownership by an insider.

What is the insider’s relationship to SRFM?

The reporting person is a Director.

Did the insider report any holdings?

No. The filing states, "No securities are beneficially owned."

What is the event date on the Form 3?

10/08/2025.

Who signed the Form 3 and under what authority?

/s/ Douglas Sugimoto signed as attorney-in-fact for Shawn Pelsinger, supported by Exhibit 24.1 - Power of Attorney.

Was the Form 3 filed jointly with others?

No. It was indicated as Form filed by One Reporting Person.

When was the Form 3 signed?

10/20/2025.

Surf Air Mobility Inc.

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207.71M
34.55M
19.33%
7.21%
6.14%
Airlines
Air Transportation, Nonscheduled
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United States
HAWTHORNE