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