0001209191-22-042656.txt : 20220719
0001209191-22-042656.hdr.sgml : 20220719
20220719213142
ACCESSION NUMBER: 0001209191-22-042656
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220715
FILED AS OF DATE: 20220719
DATE AS OF CHANGE: 20220719
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Paunovich Vukasin
CENTRAL INDEX KEY: 0001938690
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39515
FILM NUMBER: 221092648
MAIL ADDRESS:
STREET 1: C/O AMERICAN WELL CORPORATION
STREET 2: 75 STATE STREET, 26TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02109
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: American Well Corp
CENTRAL INDEX KEY: 0001393584
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 75 STATE STREET
STREET 2: 26TH FLOOR
CITY: Boston
STATE: MA
ZIP: 02109
BUSINESS PHONE: 617-205-3500
MAIL ADDRESS:
STREET 1: 75 STATE STREET
STREET 2: 26TH FLOOR
CITY: Boston
STATE: MA
ZIP: 02109
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-07-15
0
0001393584
American Well Corp
AMWL
0001938690
Paunovich Vukasin
C/O AMERICAN WELL CORPORATION
75 STATE STREET, 26TH FLOOR
BOSTON
MA
02109
0
1
0
0
EVP, Enterprise Platforms
Class A Common Stock
2022-07-15
4
A
0
563266
0.00
A
563266
D
Class A Common Stock
2022-07-15
4
F
0
68051
4.25
D
495215
D
Performance Share Units
2022-07-15
4
A
0
563266
0.00
A
Class A Common Stock
563266
563266
D
Represents a grant of restricted stock units, with 40% vesting upon the grant date, 40% vesting on the first anniversary of the grant date, and the remaining 20% vesting upon the 18th month anniversary of the grant date.
Each Performance Share Unit represents a contingent right to receive one share of Class A Common Stock of the Issuer. The Performance Share Units are eligible to vest over a three-year performance period ending July 14, 2025, and may be earned between 0%-300% of target levels, based upon the Issuer's achievement of specified market capitalization performance thresholds, subject to the reporting person's continued employment through the date on which performance is certified.
/s/ Bradford Gay as attorney-in-fact for Vukasin Paunovich
2022-07-19