SEC Form 4 · accession 0001179110-15-011058

Teladoc Health, Inc. · TDOC

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owners

Edward L Cahill

10% Owner

Peter J Grua

10% Owner

HLM VENTURE PARTNERS II, L.P.

10% Owner

HLM VENTURE ASSOCIATES II, LLC

10% Owner

Period of report

Jul 7, 2015

Accepted (ET)

Jul 9, 2015 · 1:57 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 Stock^F2,F1	Jul 7, 2015	C	2,641,986	—	A	2,641,986	I	See Footnote
Common Stock^F3,F1	Jul 7, 2015	C	819,852	—	A	819,852	I	See Footnote
Common Stock^F4,F1	Jul 7, 2015	C	1,089,666	—	A	1,089,666	I	See Footnote
Common Stock^F5,F1	Jul 7, 2015	C	428,964	—	A	428,964	I	See Footnote

Table II — derivative securities

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
Series C-1 Preferred Stock^F2,F1	—	Jul 7, 2015	C	6,039,316	D	—	—	Common Stock	2,641,986	I
Series D Preferred Stock^F3,F1	—	Jul 7, 2015	C	1,874,100	D	—	—	Common Stock	819,852	I
Series E Preferred Stock^F4,F1	—	Jul 7, 2015	C	2,490,867	D	—	—	Common Stock	1,089,666	I
Series F Preferred Stock^F5,F1	—	Jul 7, 2015	C	980,568	D	—	—	Common Stock	428,964	I

Explanation of responses

F1HLM Venture Associates II, L.L.C. is the general partner of HLM Venture Partners II, L.P. Edward L. Cahill and Peter J. Grua (collectively, the "Managing Members") are the managing members of HLM Venture Associates II, L.L.C. and, as such, may be deemed to have shared voting and dispositive power with respect to the issuer's securities held of record by HLM Venture Partners II, L.P. Each of the entities and the Managing Members disclaim beneficial ownership of the securities reported herein, except to the extent of their respective pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of the shares for purposes of Section 16 or for any other purpose.
F2Each share of Series C-1 Preferred Stock automatically converted into common stock of the issuer on a 0.4375-for-one basis immediately prior to the closing of issuer's initial public offering and had no expiration date.
F3Each share of Series D Preferred Stock automatically converted into common stock of the issuer on a 0.4375-for-one basis immediately prior to the closing of issuer's initial public offering and had no expiration date.
F4Each share of Series E Preferred Stock automatically converted into common stock of the issuer on a 0.4375-for-one basis immediately prior to the closing of issuer's initial public offering and had no expiration date.
F5Each share of Series F Preferred Stock automatically converted into common stock of the issuer on a 0.4375-for-one basis immediately prior to the closing of issuer's initial public offering and had no expiration date.