SEC Form 4 · accession 0001179110-15-011055
Teladoc Health, Inc. · TDOC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark Hirschhorn
Officer — Executive VP and CFO
Period of report
Jul 7, 2015
Accepted (ET)
Jul 9, 2015 · 1:54 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001477449
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jul 7, 2015 | C | 3,584 | — | A | 3,584 | D | |
| Common StockF2 | Jul 7, 2015 | C | 1,983 | — | A | 1,983 | D | |
| Common StockF3 | Jul 7, 2015 | C | 2,298 | — | A | 2,298 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A-1 Preferred StockF1 | — | Jul 7, 2015 | C | 684 | D | — | — | Common Stock | 3,584 | 0 | D |
| Series C-1 Preferred StockF2 | — | Jul 7, 2015 | C | 4,532 | D | — | — | Common Stock | 1,983 | 0 | D |
| Series F Preferred StockF3 | — | Jul 7, 2015 | C | 5,252 | D | — | — | Common Stock | 2,298 | 0 | D |
Explanation of responses
- F1Each share of Series A-1 Preferred Stock automatically converted into Common Stock on a 5.2391-for-one basis immediately prior to the closing of the issuer's initial public offering and had no expiration date.
- F2Each share of Series C-1 Preferred Stock automatically converted into Common Stock on a 0.4375-for-one basis immediately prior to the closing of the issuer's initial public offering and had no expiration date.
- F3Each share of Series F Preferred Stock automatically converted into Common Stock on a 0.4375-for-one basis immediately prior to the closing of the issuer's initial public offering and had no expiration date.