0001209191-19-049977.txt : 20190917 0001209191-19-049977.hdr.sgml : 20190917 20190917210827 ACCESSION NUMBER: 0001209191-19-049977 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190916 FILED AS OF DATE: 20190917 DATE AS OF CHANGE: 20190917 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WALLMAN RICHARD F CENTRAL INDEX KEY: 0001198092 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39037 FILM NUMBER: 191098251 MAIL ADDRESS: STREET 1: HONEYWELL STREET 2: 101 COLUMBIA ROAD CITY: MORRISTOWN STATE: NJ ZIP: 07962 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SmileDirectClub, Inc. CENTRAL INDEX KEY: 0001775625 STANDARD INDUSTRIAL CLASSIFICATION: DENTAL EQUIPMENT & SUPPLIES [3843] IRS NUMBER: 834505317 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 414 UNION STREET CITY: NASHVILLE STATE: TN ZIP: 37219 BUSINESS PHONE: 8008487566 MAIL ADDRESS: STREET 1: 414 UNION STREET CITY: NASHVILLE STATE: TN ZIP: 37219 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-09-16 0 0001775625 SmileDirectClub, Inc. SDC 0001198092 WALLMAN RICHARD F C/O SMILEDIRECTCLUB, INC. 414 UNION STREET NASHVILLE TN 37219 1 0 0 0 Restricted Stock Units 2019-09-16 4 A 0 13043 0.00 A 2029-09-16 Class A Common Stock 13043 13043 D Each Restricted Stock Unit represents a contingent right to receive one share of the Issuer's Class A common stock. These Restricted Stock Units will vest on September 1, 2020, subject to the reporting person's continued service on the Issuer's board of directors through such date. These Restricted Stock Units will vest in full upon the consummation of a change in control subject to the reporting person's continuous service until such date. /s/ Richard Wallman 2019-09-17