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