0001127602-24-019422.txt : 20240628
0001127602-24-019422.hdr.sgml : 20240628
20240628172007
ACCESSION NUMBER: 0001127602-24-019422
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240626
FILED AS OF DATE: 20240628
DATE AS OF CHANGE: 20240628
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Weintraub Michael
CENTRAL INDEX KEY: 0001776800
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38977
FILM NUMBER: 241086947
MAIL ADDRESS:
STREET 1: C/O PHREESIA, INC.
STREET 2: 432 PARK AVENUE S., 12TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10016
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Phreesia, Inc.
CENTRAL INDEX KEY: 0001412408
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
ORGANIZATION NAME: 07 Trade & Services
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 1521 CONCORD PIKE
STREET 2: SUITE 301 PMB 221
CITY: WILMINGTON
STATE: DE
ZIP: 19803
BUSINESS PHONE: 888-654-7473
MAIL ADDRESS:
STREET 1: 1521 CONCORD PIKE
STREET 2: SUITE 301 PMB 221
CITY: WILMINGTON
STATE: DE
ZIP: 19803
FORMER COMPANY:
FORMER CONFORMED NAME: Phreesia Inc
DATE OF NAME CHANGE: 20070914
4
1
form4.xml
PRIMARY DOCUMENT
X0508
4
2024-06-26
0001412408
Phreesia, Inc.
PHR
0001776800
Weintraub Michael
C/O PHREESIA, INC.
1521 CONCORD PIKE, SUITE 301 PMB 221
WILMINGTON
DE
19803
1
0
Common Stock
2024-06-26
4
A
0
8490
0
A
189027
D
Common Stock
144845
I
Michael Weintraub 2023 Qualified Annuity Trust
Common Stock
6703
I
Weintraub Family 2017 Irrevocable Trust
The shares reported in this transaction represent Restricted Stock Units ("RSUs") issued under the Phreesia, Inc. 2019 Stock Option and Incentive Plan. Each RSU represents the contingent right to receive one share of the Issuer's common stock. The RSUs shall vest in full upon the earlier of (i) June 26, 2025, and (ii) the next annual meeting of the Issuer's stockholders.
On May 10, 2023, the Reporting Person transferred 144,845 shares of Phreesia, Inc. common stock to a grantor retained annuity trust (the "GRAT") of which the Reporting Person is the trustee. Members of the Reporting Person's immediate family are the sole beneficiaries of the Weintraub Family 2017 Irrevocable Trust, which is the beneficiary of the GRAT. The Reporting Person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein, if any.
On May 10, 2023, the Reporting Person transferred 6,703 shares of Phreesia, Inc. common stock to an irrevocable trust. Members of the Reporting Person's immediate family are the sole beneficiaries of such trust. The Reporting Person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein, if any.
/s/ Allison Hoffman by Power of Attorney for Michael Weintraub
2024-06-28