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