Valdivia Tomas 4

Accession 0001415889-21-003294

CIK 0001671284other

Filed

Jun 29, 8:00 PM ET

Accepted

Jun 30, 9:40 PM ET

Size

27.6 KB

Accession

0001415889-21-003294

Form 4

Period: 2021-02-09

CHIEF HEALTH & EQUITY OFFICER

Transactions

Conversion
Common Stock
2021-06-28+11,286→ 4,510,050 total
Conversion
Series A Preferred Stock
2021-06-28−16,629→ 0 total
→ Common Stock (11,286 underlying)
Exercise/Conversion
Stock Options (Right to Buy)
2021-02-09−125,001→ 800,001 total
Exercise: $1.09Exp: 2029-04-18→ Common Stock (125,001 underlying)
Exercise/Conversion
Common Stock
2021-02-09$1.04/sh+31,251$32,501→ 4,342,515 total
Exercise/Conversion
Common Stock
2021-02-09$1.09/sh+125,001$135,839→ 4,467,516 total
Exercise/Conversion
Common Stock
2021-03-01$1.04/sh+6,249$6,499→ 4,473,765 total
Exercise/Conversion
Common Stock
2021-03-01$1.09/sh+24,999$27,166→ 4,498,764 total
Award
Restricted Stock Units
2021-06-28+1,050,000→ 1,050,000 total
→ Common Stock (1,050,000 underlying)
Exercise/Conversion
Stock Options (Right to Buy)
2021-02-09−31,251→ 131,250 total
Exercise: $1.04Exp: 2028-10-18→ Common Stock (31,251 underlying)
Exercise/Conversion
Stock Options (Right to Buy)
2021-03-01−6,249→ 125,001 total
Exercise: $1.04Exp: 2028-10-18→ Common Stock (6,249 underlying)
Exercise/Conversion
Stock Options (Right to Buy)
2021-03-01−24,999→ 775,002 total
Exercise: $1.09Exp: 2029-04-18→ Common Stock (24,999 underlying)

Holdings

Common Stock
(indirect: By LLC)
769,560
Common Stock
(indirect: By Spouse)
769,560
Stock Options (Right to Buy)
Exercise: $2.30Exp: 2030-11-19→ Common Stock (150,000 underlying)
150,000

Footnotes (7)

[F1]Each share of the Issuer's Series A Preferred Stock converted into shares of the Issuer's common stock on a 1:0.67874873 basis immediately prior to the closing of the Issuer's initial public offering and has no expiration date.
[F2]Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock ("Common Stock").
[F3]These performance-based restricted stock units ("PSUs") shall vest if the performance conditions are met.
[F4]These performance-based restricted stock units ("PSUs") shall vest if the performance conditions are met.
[F5]These stock options vest over four years as follows: (a) 25% vested on October 18, 2019 (one year after the grant date), and (b) 1/48 of the original grant amount (300,000) vests in monthly installments for the following three years.
[F6]These stock options vest over four years as follows: 1/48 of the original grant amount (300,000) vests in monthly installments over the four year period that began on October 1, 2019.
[F7]These stock options vest over four years as follows: (a) 25% vests on December 18, 2021, and (b) 1/48 of the original grant amount vests in monthly installments for the following three years.

Documents

1 file

Bright Health Group Inc.

CIK 0001671284

Entity typeother