0001209191-20-050496.txt : 20200915 0001209191-20-050496.hdr.sgml : 20200915 20200915170046 ACCESSION NUMBER: 0001209191-20-050496 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200911 FILED AS OF DATE: 20200915 DATE AS OF CHANGE: 20200915 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: 201176583 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 2020-09-11 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 2020-09-11 4 J 0 624 0.00 A 1968 D Common Stock 2020-09-11 4 J 0 9603 0.00 A 46669 I See footnote Common Stock 2020-09-11 4 J 0 9603 0.00 A 46669 I See footnote Common Stock 2020-09-11 4 J 0 9603 0.00 A 46668 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 FBO 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 FBO 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 FBO Alexandra E. Green for which the reporting person's spouse serves as trustee. /s/ Jonathan Dorfman, by power of attorney 2020-09-15