Filing Details
- Accession Number:
- 0001209191-21-004948
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2021-01-22 17:51:42
- Reporting Period:
- 2021-01-20
- Accepted Time:
- 2021-01-22 17:51:42
- SEC Url:
- Form 4 Filing
Issuer
| Cik | Name | Symbol | Sector (SIC) | IRS No |
|---|---|---|---|---|
| 1393584 | American Well Corp | AMWL | Services-Business Services, Nec (7389) | 000000000 |
Insiders
| Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
|---|---|---|---|---|---|---|---|
| 1824038 | Phyllis Gotlib | C/O American Well Corporation 75 State Street, 26Th Floor Boston MA 02109 | President, International | No | Yes | No | No |
Reported Non-Derivative Transactions
| Sec. Name | Acquisiton - Disposition | Date | Amount | Price | Remaning Holdings | Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|---|---|---|---|---|---|
| Class A Common Stock | Acquisiton | 2021-01-20 | 50,000 | $5.56 | 490,000 | No | 4 | M | Direct | |
| Class A Common Stock | Disposition | 2021-01-20 | 50,000 | $26.43 | 440,000 | No | 4 | S | Direct |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | M | Direct | |
| No | 4 | S | Direct |
Reported Derivative Transactions
| Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
|---|---|---|---|---|---|---|---|
| Class A Common Stock | Stock Options | Disposition | 2021-01-20 | 50,000 | $0.00 | 50,000 | $5.56 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 170,000 | 2028-10-25 | No | 4 | M | Direct |
Reported Non-Derivative Holdings
| Sec. Name | Remaning Holdings | Nature of Ownership | Explanation |
|---|---|---|---|
| Class A Common Stock | 1,615,375 | Indirect | By husband |
Reported Derivative Holdings
| Sec. Name | Sec. Type | Price | Date | Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|---|---|---|---|
| Class B Common Stock | Stock Options | $5.56 | 2028-10-25 | 1,764,883 | 1,764,883 | Indirect |
| Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|
| 2028-10-25 | 1,764,883 | 1,764,883 | Indirect |
Footnotes
- The stock options were granted on October 25, 2018 and vest over a four-year period from January 1, 2018, with 25% of the options vesting on the first anniversary of the vesting commencement date and the remaining options vesting in equal quarterly installments thereafter.
- The stock options were granted on October 25, 2018 and vested in full on October 25, 2020.
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