0001628945-22-000058.txt : 20220608 0001628945-22-000058.hdr.sgml : 20220608 20220608172354 ACCESSION NUMBER: 0001628945-22-000058 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220606 FILED AS OF DATE: 20220608 DATE AS OF CHANGE: 20220608 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Achar Christopher K CENTRAL INDEX KEY: 0001868312 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40824 FILM NUMBER: 221004251 MAIL ADDRESS: STREET 1: C/O CUE HEALTH INC. STREET 2: 4980 CARROLL CANYON RD. SUITE 100 CITY: SAN DIEGO STATE: CA ZIP: 92121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cue Health Inc. CENTRAL INDEX KEY: 0001628945 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4980 CARROLL CANYON ROAD STREET 2: SUITE 100 CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: (858) 412-8151 MAIL ADDRESS: STREET 1: 4980 CARROLL CANYON ROAD STREET 2: SUITE 100 CITY: SAN DIEGO STATE: CA ZIP: 92121 FORMER COMPANY: FORMER CONFORMED NAME: Cue Inc. DATE OF NAME CHANGE: 20141223 FORMER COMPANY: FORMER CONFORMED NAME: Cue, Inc. DATE OF NAME CHANGE: 20141222 4 1 wf-form4_165472342053169.xml FORM 4 X0306 4 2022-06-06 0 0001628945 Cue Health Inc. HLTH 0001868312 Achar Christopher K C/O CUE HEALTH INC. 4980 CARROLL CANYON RD. SUITE 100 SAN DIEGO CA 92121 1 0 0 0 Common Stock 2022-06-06 4 F 0 4327 5.30 D 1593264 D Common Stock 1520000 I See Footnote The reported shares were withheld to satisfy the reporting person's tax liability in connection with the vesting of restricted stock units. Includes 1,519,154 unvested RSUs. The securities are directly held by Hlth Wrk LLC. Chris Achar is the sole manager of Hlth Wrk LLC and may be deemed to have voting and investment power with respect to the shares held by Hlth Wrk LLC and as a result may be deemed to have beneficial ownership of such shares. /s/ Erica Palsis, Attorney-in-Fact for Chris Achar 2022-06-08