0001209191-22-036998.txt : 20220615
0001209191-22-036998.hdr.sgml : 20220615
20220615165446
ACCESSION NUMBER: 0001209191-22-036998
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220613
FILED AS OF DATE: 20220615
DATE AS OF CHANGE: 20220615
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PATRICK DEVAL L
CENTRAL INDEX KEY: 0001053466
STANDARD INDUSTRIAL CLASSIFICATION: AIR TRANSPORTATION, SCHEDULED [4512]
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39515
FILM NUMBER: 221018363
MAIL ADDRESS:
STREET 1: BAIN CAPITAL, LLC
STREET 2: 200 CLARENDON STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: American Well Corp
CENTRAL INDEX KEY: 0001393584
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 75 STATE STREET
STREET 2: 26TH FLOOR
CITY: Boston
STATE: MA
ZIP: 02109
BUSINESS PHONE: 617-205-3500
MAIL ADDRESS:
STREET 1: 75 STATE STREET
STREET 2: 26TH FLOOR
CITY: Boston
STATE: MA
ZIP: 02109
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-06-13
0
0001393584
American Well Corp
AMWL
0001053466
PATRICK DEVAL L
C/O AMERICAN WELL CORPORATION
75 STATE STREET, 26TH FLOOR
BOSTON
MA
02109
1
0
0
0
Class A Common Stock
2022-06-13
4
A
0
50377
0.00
A
78149
D
Class A Common Stock
8000
I
By Wife
Represents a grant of restricted stock units, which vest on the earlier of (i) the day immediately preceding the date of the first annual meeting of the stockholders following the grant date and (ii) the first anniversary of the grant date.
/s/ Bradford Gay as attorney-in-fact for Deval L. Patrick
2022-06-15