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 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 03/03/2021 |
3. Issuer Name and Ticker or Trading Symbol
Oscar Health, Inc. [ OSCR ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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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) |
Class A Common Stock | 95,394 | D | |
Class A Common Stock | 15,896 | I | By spouse |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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 | ||||
Stock Option | (1) | 08/29/2029 | Class A Common Stock | 1,404,606 | $9.51 | D | |
Stock Option | (2) | 10/07/2030 | Class A Common Stock | 333,333 | $12.72 | D | |
Restricted Stock Units | (3) | (4) | Class A Common Stock | 58,666 | (4) | D |
Explanation of Responses: |
1. The stock option is currently vested and exercisable with respect to 404,606 shares, and will vest with respect to the remainder of the shares in equal monthly installments until fully vested on September 9, 2023. |
2. This option is vested and exercisable with respect to 124,599 shares, and will vest with respect to 17,799 shares on the sixth day of each month from March 2021 to June 2021. In addition, the option will become vested and exercisable with respect to the remaining shares as of the completion of the Issuer's initial public offering. |
3. Each restricted stock unit represents a contingent right to receive one share of Class A common stock. |
4. The restricted stock unit is vested with respect to 46,190 shares, and vests with respect to the remainder in equal monthly installments of 3,132 shares through June 30, 2021. |
Remarks: |
Exhibit 24 - Power of Attorney. |
/s/ Harold Greenberg, Attorney-in-fact | 03/03/2021 | |
** 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. |