0001179110-15-011055.txt : 20150709
0001179110-15-011055.hdr.sgml : 20150709
20150709135437
ACCESSION NUMBER: 0001179110-15-011055
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150707
FILED AS OF DATE: 20150709
DATE AS OF CHANGE: 20150709
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Teladoc, Inc.
CENTRAL INDEX KEY: 0001477449
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011]
IRS NUMBER: 043705970
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4100 SPRING VALLEY
STREET 2: SUITE 600
CITY: DALLAS
STATE: TX
ZIP: 75244
BUSINESS PHONE: 2143025208
MAIL ADDRESS:
STREET 1: 4100 SPRING VALLEY
STREET 2: SUITE 600
CITY: DALLAS
STATE: TX
ZIP: 75244
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HIRSCHHORN MARK
CENTRAL INDEX KEY: 0001081343
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37477
FILM NUMBER: 15981156
4
1
edgar.xml
FORM 4 -
X0306
4
2015-07-07
0
0001477449
Teladoc, Inc.
TDOC
0001081343
HIRSCHHORN MARK
C/O TELADOC, INC.,
2 MANHATTANVILLE ROAD, SUITE 203
PURCHASE
NY
10577
0
1
0
0
Executive VP and CFO
Common Stock
2015-07-07
4
C
0
3584
A
3584
D
Common Stock
2015-07-07
4
C
0
1983
A
1983
D
Common Stock
2015-07-07
4
C
0
2298
A
2298
D
Series A-1 Preferred Stock
2015-07-07
4
C
0
684
0
D
Common Stock
3584
0
D
Series C-1 Preferred Stock
2015-07-07
4
C
0
4532
0
D
Common Stock
1983
0
D
Series F Preferred Stock
2015-07-07
4
C
0
5252
0
D
Common Stock
2298
0
D
Each share of Series A-1 Preferred Stock automatically converted into Common Stock on a 5.2391-for-one basis immediately prior to the closing of the issuer's initial public offering and had no expiration date.
Each share of Series C-1 Preferred Stock automatically converted into Common Stock on a 0.4375-for-one basis immediately prior to the closing of the issuer's initial public offering and had no expiration date.
Each share of Series F Preferred Stock automatically converted into Common Stock on a 0.4375-for-one basis immediately prior to the closing of the issuer's initial public offering and had no expiration date.
/s/ Adam C. Vandervoort, attorney-in-fact
2015-07-09