0000899243-19-020582.txt : 20190730
0000899243-19-020582.hdr.sgml : 20190730
20190730163259
ACCESSION NUMBER: 0000899243-19-020582
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190729
FILED AS OF DATE: 20190730
DATE AS OF CHANGE: 20190730
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SHAPIRO LEE
CENTRAL INDEX KEY: 0001213350
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38983
FILM NUMBER: 19985886
MAIL ADDRESS:
STREET 1: C/O ALLSCRIPTS HEALTCHARE SOLUTIONS
STREET 2: 2401 COMMERCE DR
CITY: LIBERTYVILLE
STATE: IL
ZIP: 60048
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Livongo Health, Inc.
CENTRAL INDEX KEY: 0001639225
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090]
IRS NUMBER: 263542036
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 150 W. EVELYN AVE.
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94041
BUSINESS PHONE: 1(866)435-5643
MAIL ADDRESS:
STREET 1: 150 W. EVELYN AVE.
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94041
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-07-29
0
0001639225
Livongo Health, Inc.
LVGO
0001213350
SHAPIRO LEE
C/O LIVONGO HEALTH, INC.
150 WEST EVELYN AVENUE, SUITE 150
MOUNTAIN VIEW
CA
94041
0
1
0
0
Chief Financial Officer
Common Stock
2019-07-29
4
C
0
745093
A
1159901
I
See footnote.
Common Stock
2019-07-29
4
C
0
285131
A
285131
I
See footnote.
Common Stock
2019-07-29
4
C
0
361718
A
361718
I
See footnote.
Common Stock
2019-07-29
4
C
0
400528
A
400528
I
See footnote.
Common Stock
2019-07-29
4
C
0
60000
A
60000
I
See footnote.
Common Stock
1984865
D
Common Stock
3373987
I
See footnote.
Series A Convertible Preferred Stock
2019-07-29
4
C
0
3506
D
Common Stock
3506
0
I
See footnote.
Series C Convertible Preferred Stock
2019-07-29
4
C
0
2104
D
Common Stock
2104
0
I
See footnote.
Series C Convertible Preferred Stock
2019-07-29
4
C
0
285131
D
Common Stock
285131
0
I
See footnote.
Series D Convertible Preferred Stock
2019-07-29
4
C
0
250800
D
Common Stock
250800
0
I
See footnote.
Series D Convertible Preferred Stock
2019-07-29
4
C
0
361718
D
Common Stock
361718
0
I
See footnote.
Series E Convertible Preferred Stock
2019-07-29
4
C
0
488683
D
Common Stock
488683
0
I
See footnote.
Series E Convertible Preferred Stock
2019-07-29
4
C
0
400528
D
Common Stock
400528
0
I
See footnote.
Series E Convertible Preferred Stock
2019-07-29
4
C
0
60000
D
Common Stock
60000
0
I
See footnote.
Each share of Series A Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering of Common Stock and had no expiration date.
The shares are held of record by 7Wire Ventures Fund, L.P., or 7Wire LP. The reporting person serves as a Manager of 7Wire Management, LLC, or 7Wire Management, the Manager of 7Wire LP. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
Each share of Series C Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering of Common Stock and had no expiration date.
The shares are held of record by 7Wire Ventures LLC - Series Livongo C. The reporting person serves as a Manager of 7Wire Management, the Manager of 7Wire Ventures LLC - Series Livongo C. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
Each share of Series D Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering of Common Stock and had no expiration date.
The shares are held of record by 7Wire Ventures LLC - Series Livongo D. The reporting person serves as a Manager of 7Wire Management, the Manager of 7Wire Ventures LLC - Series Livongo D. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
Each share of Series E Convertible Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering of Common Stock and had no expiration date.
The shares are held of record by 7Wire Ventures LLC - Series Livongo E. The reporting person serves as a Manager of 7Wire Management, the Manager of 7Wire Ventures LLC - Series Livongo E. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
The shares are held of record by 7Wire Ventures Wanxiang Strategic Fund I, LLC, or 7Wire Wanxiang. The reporting person serves as a Manager of 7Wire Management, the Manager of 7Wire Wanxiang. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
The shares are held of record by 7Wire Ventures LLC-Series EosHealth. The reporting person serves as a Manager of 7Wire Management, the Manager of 7Wire Ventures LLC-Series EosHealth. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
/s/ Erica Palsis, by power of attorney
2019-07-30