0000899243-21-003406.txt : 20210126
0000899243-21-003406.hdr.sgml : 20210126
20210126205517
ACCESSION NUMBER: 0000899243-21-003406
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210126
FILED AS OF DATE: 20210126
DATE AS OF CHANGE: 20210126
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CHAMPSI FARAH
CENTRAL INDEX KEY: 0001198321
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39706
FILM NUMBER: 21556456
MAIL ADDRESS:
STREET 1: ONE EMBARCADERO CENTER SUITE 3700
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Population Health Investment Co., Inc.
CENTRAL INDEX KEY: 0001825724
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 981556837
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: ONE WORLD FINANCIAL CENTER
CITY: NEW YORK
STATE: NY
ZIP: 10281
BUSINESS PHONE: (646) 965-0761
MAIL ADDRESS:
STREET 1: ONE WORLD FINANCIAL CENTER
CITY: NEW YORK
STATE: NY
ZIP: 10281
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-01-26
0
0001825724
Population Health Investment Co., Inc.
PHIC
0001198321
CHAMPSI FARAH
C/O POPULATION HEALTH INVESTMENT CO.,INC
ONE WORLD FINANCIAL CENTER
NEW YORK
NY
10281
1
0
0
0
Class B Ordinary Shares
2021-01-26
4
J
0
43125
250.00
A
Class A Ordinary Shares
43125
43125
D
As described in the issuer's registration statement on Form S-1 (File No. 333-249756) under the heading "Description of Securities--Founder Shares", the Class B ordinary shares, par value $0.0001 per share, will automatically convert into Class A ordinary shares, par value $0.0001 per share, of the issuer at the time of the issuer's initial business combination, or earlier at the option of the holder, on a one-for-one basis, subject to adjustment for share splits, share capitalizations, reorganizations, recapitalizations and the like, and certain anti-dilution rights and have no expiration date.
In connection with Ms. Champsi's election as an independent director of the issuer, 43,125 Class B ordinary shares of the issuer were transferred by Population Health Investment Holding, Inc. to Ms. Champsi for $250.00, or approximately $0.0058 per share.
The Power of Attorney given by Ms. Champsi was previously filed with the U.S. Securities & Exchange Commission on November 17, 2020 as an exhibit to a statement on Form 3 filed by Ms. Champsi with respect to Population Health Investment Co., Inc. and is hereby incorporated by reference.
/s/ Christopher Visioli, Attorney-in-Fact
2021-01-26