0001209191-21-006436.txt : 20210201
0001209191-21-006436.hdr.sgml : 20210201
20210201161848
ACCESSION NUMBER: 0001209191-21-006436
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210128
FILED AS OF DATE: 20210201
DATE AS OF CHANGE: 20210201
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tran Hai
CENTRAL INDEX KEY: 0001368330
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39160
FILM NUMBER: 21576919
MAIL ADDRESS:
STREET 1: C/O SOC TELEMED, INC.
STREET 2: 1768 BUSINESS CENTER DRIVE, SUITE 100
CITY: RESTON
STATE: VA
ZIP: 20190
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SOC Telemed, Inc.
CENTRAL INDEX KEY: 0001791091
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090]
IRS NUMBER: 843131208
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1768 BUSINESS CENTER DRIVE
STREET 2: SUITE 100
CITY: RESTON
STATE: VA
ZIP: 20190
BUSINESS PHONE: 866-483-9690
MAIL ADDRESS:
STREET 1: 1768 BUSINESS CENTER DRIVE
STREET 2: SUITE 100
CITY: RESTON
STATE: VA
ZIP: 20190
FORMER COMPANY:
FORMER CONFORMED NAME: Healthcare Merger Corp.
DATE OF NAME CHANGE: 20191015
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-01-28
0
0001791091
SOC Telemed, Inc.
TLMD
0001368330
Tran Hai
C/O SOC TELEMED, INC.
1768 BUSINESS CENTER DRIVE, SUITE 100
RESTON
VA
20190
0
1
0
0
President and COO
Class A Common Stock
2021-01-28
4
A
0
221675
0.00
A
679741
D
Performance-based Restricted Stock Units
2021-01-28
4
A
0
147783
0.00
A
2024-08-15
Class A Common Stock
147783
147783
D
Represents restricted stock units, each of which represents a contingent right to receive one share of the Issuer's Class A Common Stock, of which 1/4th will vest on February 15 of each of 2022, 2023, 2024 and 2025, respectively, subject to the continuous service of the Reporting Person on each vesting date.
Each performance-based restricted stock unit ("PRSU") represents a contingent right to receive one share of the Issuer's Class A Common Stock. The PRSUs generally vest in three equal installments on February 15 of each of 2022, 2023 and 2024, respectively, provided that the applicable performance goal has been achieved by such date (and, if not, on the date the applicable performance goal is subsequently achieved), and are subject to the continuous service of the Reporting Person through the applicable vesting date. The applicable performance goal for each tranche will be satisfied if the Issuer's Class A Common Stock achieves a specified per share market price for such tranche for at least 20 trading days during any 30 consecutive day period from the date of grant. If the applicable performance goals have not been achieved by August 15, 2024, all unvested PRSUs will be forfeited.
/s/ Eunice Kim, as Attorney-in-Fact
2021-02-01