0000899243-22-012335.txt : 20220325 0000899243-22-012335.hdr.sgml : 20220325 20220325170113 ACCESSION NUMBER: 0000899243-22-012335 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210910 FILED AS OF DATE: 20220325 DATE AS OF CHANGE: 20220325 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TAMER ANTHONY CENTRAL INDEX KEY: 0001050045 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33071 FILM NUMBER: 22772187 MAIL ADDRESS: STREET 1: 1001 SOUTH BAYSHORE DRIVE STREET 2: STE 2708 CITY: MIAMI STATE: FL ZIP: 33131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MNAYMNEH SAMI CENTRAL INDEX KEY: 0001050046 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33071 FILM NUMBER: 22772188 MAIL ADDRESS: STREET 1: 1001 SOUTH BAYSHORE DRIVE STREET 2: STE 2708 CITY: MIAMI STATE: FL ZIP: 33131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: H.I.G.-GPII, Inc. CENTRAL INDEX KEY: 0001788482 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33071 FILM NUMBER: 22772194 BUSINESS ADDRESS: STREET 1: C/O EXAGEN INC. STREET 2: 1261 LIBERTY WAY, SUITE C CITY: VISTA STATE: CA ZIP: 92081 BUSINESS PHONE: (760) 560-1501 MAIL ADDRESS: STREET 1: C/O EXAGEN INC. STREET 2: 1261 LIBERTY WAY, SUITE C CITY: VISTA STATE: CA ZIP: 92081 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: H.I.G. Middle Market LBO Fund III, L.P. CENTRAL INDEX KEY: 0001781863 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33071 FILM NUMBER: 22772190 BUSINESS ADDRESS: STREET 1: 1450 BRICKELL AVENUE, 31ST FLOOR CITY: MIAMI STATE: FL ZIP: 33131 BUSINESS PHONE: 305-3792322 MAIL ADDRESS: STREET 1: 1450 BRICKELL AVENUE, 31ST FLOOR CITY: MIAMI STATE: FL ZIP: 33131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Echelon Health SPV GP, LLC CENTRAL INDEX KEY: 0001918096 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33071 FILM NUMBER: 22772192 BUSINESS ADDRESS: STREET 1: C/O H.I.G. CAPITAL, LLC STREET 2: 1450 BRICKELL AVENUE, 31ST FLOOR CITY: MIAMI STATE: FL ZIP: 33131 BUSINESS PHONE: 305-379-2322 MAIL ADDRESS: STREET 1: C/O H.I.G. CAPITAL, LLC STREET 2: 1450 BRICKELL AVENUE, 31ST FLOOR CITY: MIAMI STATE: FL ZIP: 33131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: H.I.G. Echelon, LP CENTRAL INDEX KEY: 0001918030 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33071 FILM NUMBER: 22772191 BUSINESS ADDRESS: STREET 1: C/O H.I.G. CAPITAL, LLC STREET 2: 1450 BRICKELL AVENUE, 31ST FLOOR CITY: MIAMI STATE: FL ZIP: 33131 BUSINESS PHONE: 305-379-2322 MAIL ADDRESS: STREET 1: C/O H.I.G. CAPITAL, LLC STREET 2: 1450 BRICKELL AVENUE, 31ST FLOOR CITY: MIAMI STATE: FL ZIP: 33131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: H.I.G. Middle Market Advisors III, LLC CENTRAL INDEX KEY: 0001918042 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33071 FILM NUMBER: 22772189 BUSINESS ADDRESS: STREET 1: C/O H.I.G. CAPITAL, LLC STREET 2: 1450 BRICKELL AVENUE, 31ST FLOOR CITY: MIAMI STATE: FL ZIP: 33131 BUSINESS PHONE: 305-379-2322 MAIL ADDRESS: STREET 1: C/O H.I.G. CAPITAL, LLC STREET 2: 1450 BRICKELL AVENUE, 31ST FLOOR CITY: MIAMI STATE: FL ZIP: 33131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Echelon Health SPV, LP CENTRAL INDEX KEY: 0001918051 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33071 FILM NUMBER: 22772193 BUSINESS ADDRESS: STREET 1: C/O H.I.G. CAPITAL, LLC STREET 2: 1450 BRICKELL AVENUE, 31ST FLOOR CITY: MIAMI STATE: FL ZIP: 33131 BUSINESS PHONE: 305-379-2322 MAIL ADDRESS: STREET 1: C/O H.I.G. CAPITAL, LLC STREET 2: 1450 BRICKELL AVENUE, 31ST FLOOR CITY: MIAMI STATE: FL ZIP: 33131 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: eHealth, Inc. CENTRAL INDEX KEY: 0001333493 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 770470789 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2625 AUGUSTINE DRIVE, SECOND FLOOR CITY: SANTA CLARA STATE: CA ZIP: 95054 BUSINESS PHONE: 650-584-2700 MAIL ADDRESS: STREET 1: 2625 AUGUSTINE DRIVE, SECOND FLOOR CITY: SANTA CLARA STATE: CA ZIP: 95054 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-09-10 0 0001333493 eHealth, Inc. EHTH 0001788482 H.I.G.-GPII, Inc. 1450 BRICKELL AVENUE, 31ST FLOOR MIAMI FL 33131 0 0 1 0 0001918051 Echelon Health SPV, LP C/O H.I.G. CAPITAL, LLC 1450 BRICKELL AVENUE, 31ST FLOOR MIAMI FL 33131 0 0 1 0 0001918096 Echelon Health SPV GP, LLC C/O H.I.G. CAPITAL, LLC 1450 BRICKELL AVENUE, 31ST FLOOR MIAMI FL 33131 0 0 1 0 0001918030 H.I.G. Echelon, LP C/O H.I.G. CAPITAL, LLC 1450 BRICKELL AVENUE, 31ST FLOOR MIAMI FL 33131 0 0 1 0 0001781863 H.I.G. Middle Market LBO Fund III, L.P. 1450 BRICKELL AVENUE, 31ST FLOOR MIAMI FL 33131 0 0 1 0 0001918042 H.I.G. Middle Market Advisors III, LLC C/O H.I.G. CAPITAL, LLC 1450 BRICKELL AVENUE, 31ST FLOOR MIAMI FL 33131 0 0 1 0 0001050046 MNAYMNEH SAMI C/O H.I.G. CAPITAL, LLC 1450 BRICKELL AVENUE, 31ST FLOOR MIAMI FL 33131 0 0 1 0 0001050045 TAMER ANTHONY C/O H.I.G. CAPITAL, LLC 1450 BRICKELL AVENUE, 31ST FLOOR MIAMI FL 33131 0 0 1 0 Series A Preferred Stock Common Stock I See Notes The Reporting Persons beneficially own 2,250,000 shares of the Issuer's Series A Preferred Stock (the "Series A Preferred Stock"). The Series A Preferred Stock provides for paid-in-kind ("PIK") dividends at an annual rate of 8%, which accrue daily and compound semi-annually. The Series A Preferred Stock became convertible into shares of the Issuer's common stock (the "Common Stock") on June 1, 2021. The number of shares of Common Stock issuable upon conversion of a share of Series A Preferred Stock equals (A) $100 plus PIK dividends calculated up to the most recent semi-annual dividend payment date plus PIK dividends accrued since the most recent semi-annual dividend payment date divided by (B) the conversion price of $79.5861, which is subject to adjustment upon the occurrence of certain specified events. As of September 10, 2021, the Series A Preferred Stock beneficially owned by the Reporting Persons was convertible into 2,910,708.48 shares of Common Stock. As of March 25, 2022, the Series A Preferred Stock beneficially owned by the Reporting Persons was convertible into 3,035,822.97 shares of Common Stock. The securities reported herein are held directly by Echelon Health SPV, LP ("Echelon LP"), Echelon Health SPV GP, LLC, a Delaware limited liability company ("Echelon GP"), is the general partner of Echelon LP. H.I.G. Echelon, LP, a Delaware limited partnership ("Holdco"), is the sole member of Echelon LP. H.I.G. Middle Market LBO Fund III, L.P., a Delaware limited partnership ("Middle Market LBO III"), is the controlling interest holder of Holdco and Echelon GP. H.I.G. Middle Market Advisors III, LLC, a Delaware limited liability company ("Middle Market Advisors III"), is the general partner of Middle Market LBO III and the manager of Echelon GP. H.I.G.-GPII, Inc., a Delaware corporation ("GPII" and together with Echelon LP, Echelon GP, Holdco, Middle Market LBO III and Middle Market Advisors III, the "HIG Funds"), is the general partner of Holdco and the manager of Middle Market Advisors III. Sami W. Mnaymneh and Anthony A. Tamer are the sole shareholders of GPII. As a result of the foregoing relationships, each of the HIG Funds and Messrs. Mnaymneh and Tamer may be deemed to beneficially own the Series A Preferred Stock held by Echelon LP. Messrs. Mnaymneh and Tamer disclaim beneficial ownership of the shares held by the HIG Funds except to the extent of their pecuniary interest therein. ECHELON HEALTH SPV, LP, By: Echelon Health SPV GP, LLC, its general partner, /s/ Richard Siegel 2022-03-25 ECHELON HEALTH SPV GP, LLC, /s/ Richard Siegel 2022-03-25 ECHELON HEALTH, LP, By: H.I.G.-GPII, Inc., its general partner, /s/ Richard Siegel 2022-03-25 H.I.G. MIDDLE MARKET LBO FUND III, L.P., By: H.I.G. Middle Market Advisors III, LLC, its general partner, /s/ Richard Siegel 2022-03-25 H.I.G. MIDDLE MARKET ADVISORS III, LLC, /s/ Richard Siegel 2022-03-25 H.I.G.-GPII, INC., /s/ Richard Siegel 2022-03-25 SAMI W. MNAYMNEH, /s/ Sami W. Mnaymneh 2022-03-25 ANTHONY A. TAMER, /s/ Anthony A. Tamer 2022-03-25