0001179110-19-005106.txt : 20190419
0001179110-19-005106.hdr.sgml : 20190419
20190419124002
ACCESSION NUMBER: 0001179110-19-005106
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20190415
FILED AS OF DATE: 20190419
DATE AS OF CHANGE: 20190419
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hostetter Adam J
CENTRAL INDEX KEY: 0001774103
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36568
FILM NUMBER: 19757493
MAIL ADDRESS:
STREET 1: 14061 W 158TH STREET
CITY: OLATHE
STATE: KS
ZIP: 66062
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HEALTHEQUITY INC
CENTRAL INDEX KEY: 0001428336
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 15 WEST SCENIC POINTE DRIVE
STREET 2: SUITE 100
CITY: DRAPER
STATE: UT
ZIP: 84020
BUSINESS PHONE: 801-727-1000
MAIL ADDRESS:
STREET 1: 15 WEST SCENIC POINTE DRIVE
STREET 2: SUITE 100
CITY: DRAPER
STATE: UT
ZIP: 84020
3
1
edgar.xml
FORM 3 -
X0206
3
2019-04-15
1
0001428336
HEALTHEQUITY INC
HQY
0001774103
Hostetter Adam J
C/O HEALTHEQUITY, INC.
15 W. SCENIC POINTE DR., STE 100
DRAPER
UT
84020
0
1
0
0
EVP Chief Marketing Officer
No Securities are beneficially owned. Exhibit List: Exhibit 24 - Power of Attorney
/s/ Adam Hostetter
2019-04-18
EX-24
2
ex24hostetter.txt
LIMITED POWER OF ATTORNEY FOR SECTION 16 REPORTING
OBLIGATIONS
Know all by these present that the undersigned hereby
constitutes and appoints each of Delano W. Ladd, Darcy
G. Mott, and Willkie Farr & Gallagher LLP, or any of
them acting singly and with full power of
substitution, the undersigned's true and lawful
attorney-in-fact to:
1. execute for and on behalf of the
undersigned, in the undersigned's capacity as an
officer or director or both of HealthEquity, Inc. (the
"Company"), Forms 3, 4 and 5 (and any amendments
thereto) in accordance with Section 16(a) of the
Securities Exchange Act of 1934, as amended (the
"Exchange Act"), and the rules thereunder;
2. do and perform any and all acts for and on
behalf of the undersigned which may be necessary or
desirable to complete and execute any such Form 3, 4
or 5, complete and execute any amendments thereto, and
timely file such form with the U.S. Securities and
Exchange Commission (the "SEC") and any securities
exchange or similar authority, including without
limitation the filing of a Form ID or any other
documents necessary or appropriate to enable the
undersigned to file the Forms 3, 4 and 5
electronically with the SEC;
3. seek or obtain, as the undersigned's
representative and on the undersigned's behalf,
information on transactions in the Company's
securities from any third party, including brokers,
employee benefit plan administrators and trustees, and
the undersigned hereby authorizes any such person to
release any such information to each of the
undersigned's attorneys-in-fact appointed by this
Limited Power of Attorney and approves and ratifies
any such release of information; and
4. take any other action in connection with the
foregoing which, in the opinion of such attorney-in-
fact, may be of benefit to, in the best interest of,
or legally required by or for, the undersigned, it
being understood that the documents executed by such
attorney-in-fact on behalf of the undersigned pursuant
to this Limited Power of Attorney shall be in such
form and shall contain such information and disclosure
as such attorney-in-fact may approve in such attorney-
in-fact's discretion.
The undersigned hereby grants to each such attorney-
in-fact full power and authority to do and perform any
and every act and thing whatsoever required, necessary
or proper to be done in the exercise of any of the
rights and powers herein granted, as fully to all
intents and purposes as the undersigned might or could
do if personally present, with full power of
substitution or revocation, hereby ratifying and
confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall
lawfully do or cause to be done by virtue of this
Limited Power of Attorney and the rights and powers
herein granted.
The undersigned acknowledges that the foregoing
attorneys-in-fact, in serving in such capacity at the
request and on the behalf of the undersigned, are not
assuming, nor is the Company assuming, any of the
undersigned's responsibilities to comply with, or any
liability for the failure to comply with, any
provision of Section 16 of the Exchange Act.
This Limited Power of Attorney revokes any earlier
Limited Power of Attorney delivered to the Company by
the undersigned relating to the matters contemplated
herein and shall remain in full force and effect until
the undersigned is no longer required to file Forms 3,
4 or 5 with respect to the undersigned's holdings of
and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed
writing delivered to each of the foregoing attorneys-
in-fact.
IN WITNESS WHEREOF, the undersigned has executed this
Limited Power of Attorney as of this 15th day of April,
2019.
Signed and acknowledged:
/s/ Adam Hostetter