0000899243-20-010682.txt : 20200413 0000899243-20-010682.hdr.sgml : 20200413 20200413192735 ACCESSION NUMBER: 0000899243-20-010682 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20200409 FILED AS OF DATE: 20200413 DATE AS OF CHANGE: 20200413 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Green Philip D CENTRAL INDEX KEY: 0001252410 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38983 FILM NUMBER: 20789695 MAIL ADDRESS: STREET 1: C/O LIVONGO HEALTH, INC STREET 2: 150 WEST EVELYN AVENUE, SUITE 150 CITY: MOUNTAIN VIEW STATE: CA ZIP: 94041 FORMER NAME: FORMER CONFORMED NAME: GREEN PHILIP E DATE OF NAME CHANGE: 20030707 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Livongo Health, Inc. CENTRAL INDEX KEY: 0001639225 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 263542036 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 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 2020-04-09 0 0001639225 Livongo Health, Inc. LVGO 0001252410 Green Philip D C/O LIVONGO HEALTH, INC. 150 WEST EVELYN AVENUE, SUITE 150 MOUNTAIN VIEW CA 94041 1 0 0 0 Common Stock 2020-04-09 4 J 0 576 0.00 A 576 D Common Stock 2020-04-09 4 J 0 8865 0.00 A 33865 I See footnote Common Stock 2020-04-09 4 J 0 8865 0.00 A 33865 I See footnote Common Stock 2020-04-09 4 J 0 8865 0.00 A 33865 I See footnote Represents the receipt of shares pursuant to pro rata in-kind distributions by 7wire Ventures Fund, L.P. and 7wire Ventures, LLC - Series Livongo E without consideration to its partners. Represents the receipt of shares pursuant to pro rata in-kind distributions by 7wire Ventures, LLC - Series EosHealth, 7wire Ventures, LLC - Series Livongo D and 7wire Ventures, LLC - Series Livongo E without consideration to its partners. The shares are held of record by The Philip D. Green 2012 Children's Trust FOB Joshua D. Green for which the reporting person's spouse serves as trustee. The shares are held of record by The Philip D. Green 2012 Children's Trust FOB Justin J. Green for which the reporting person's spouse serves as trustee. The shares are held of record by The Philip D. Green 2012 Children's Trust FOB Alexandra E. Green for which the reporting person's spouse serves as trustee. Exhibit 24- Power of Attorney /s/ Jonathan Dorfman, by power of attorney 2020-04-13 EX-24 2 attachment1.htm EX-24 DOCUMENT

                                                                      Exhibit 24

                               POWER OF ATTORNEY

The undersigned, as a Section 16 reporting person of Livongo Health, Inc. (the
"Company"), hereby constitutes and appoints Lee Shapiro, Erica Palsis, Nerissa
Canonizado, Jonathan Dorfman and Carolyn Belamide, and each of them, as the
undersigned's true and lawful attorney- in-fact to:

     1.   complete and execute Forms 3, 4 and 5 and other forms and all
          amendments thereto as such attorney-in-fact shall in his discretion
          determine to be required or advisable pursuant to Section 16 of the
          Securities Exchange Act of 1934 (as amended) and the rules and
          regulations promulgated thereunder, or any successor laws and
          regulations, as a consequence of the undersigned's ownership,
          acquisition or disposition of securities of the Company; and

     2.   do all acts necessary in order to file such forms with the SEC, any
          securities exchange or national association, the Company and such
          other person or agency as the attorneys-in-fact shall deem
          appropriate.

     The undersigned hereby ratifies and confirms all that said attorneys-in-
fact and agents shall do or cause to be done by virtue hereof.  The undersigned
acknowledges that the foregoing attorneys-in-fact, in serving in such capacity
at the request of the undersigned, are not assuming, nor is the Company
assuming, any of the undersigned's responsibilities to comply with Section 16 of
the Securities Exchange Act of 1934 (as amended).

     This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
Company and the foregoing attorneys-in-fact.

     IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 10th day of March, 2020.


                               Signature: /s/ Philip D. Green
                               --------------------------------------
                               Print Name: Philip D. Green