0000899243-19-020249.txt : 20190724 0000899243-19-020249.hdr.sgml : 20190724 20190724174338 ACCESSION NUMBER: 0000899243-19-020249 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20190724 FILED AS OF DATE: 20190724 DATE AS OF CHANGE: 20190724 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Schneider Jennifer CENTRAL INDEX KEY: 0001783060 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38983 FILM NUMBER: 19971880 MAIL ADDRESS: STREET 1: C/O LIVONGO HEALTH, INC. STREET 2: 150 WEST EVELYN AVENUE, SUITE 150 CITY: MOUNTAIN VIEW STATE: CA ZIP: 94041 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Livongo Health, Inc. CENTRAL INDEX KEY: 0001639225 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 263542036 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 150 W. EVELYN AVE. CITY: MOUNTAIN VIEW STATE: CA ZIP: 94041 BUSINESS PHONE: 1(866)435-5643 MAIL ADDRESS: STREET 1: 150 W. EVELYN AVE. CITY: MOUNTAIN VIEW STATE: CA ZIP: 94041 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2019-07-24 0 0001639225 Livongo Health, Inc. LVGO 0001783060 Schneider Jennifer C/O LIVONGO HEALTH, INC. 150 WEST EVELYN AVENUE, SUITE 150 MOUNTAIN VIEW CA 94041 0 1 0 0 President Common Stock 205000 D Employee Stock Option (right to buy) 0.80 2025-09-02 Common Stock 657335 D Employee Stock Option (right to buy) 1.38 2026-11-15 Common Stock 80000 D Employee Stock Option (right to buy) 3.62 2028-06-18 Common Stock 150000 D The reported shares are represented by restricted stock units, or RSUs, which vest as follows:(1) 50,000 RSUs vest in 48 equal monthly installments beginning on January 18, 2019 with vested shares to be settled beginning on January 30, 2020 and the remaining shares vest monthly thereafter and (ii) 155,000 RSUs vest in 16 equal quarterly installments beginning on August 25, 2019. An option to purchase 687, 335 shares was granted on September 3, 2015 and was exercised in part prior to the date on which the reporting person became subject to Section 16. One-fourth of the shares subject to the option vested on September 1, 2016 and 1/48 of the shares vest monthly thereafter. One-fourth of the shares subject to the option vested on November 16, 2017 and 1/48 of the shares vest monthly thereafter. One-fourth of the shares subject to the option vested on June 19, 2019 and 1/48 of the shares vest monthly thereafter. Exhibit 24 - Power of Attorney /s/ Erica Palsis, by power of attorney 2019-07-24 EX-24 2 attachment1.htm EX-24 DOCUMENT

                                                                      Exhibit 24

                               POWER OF ATTORNEY

The undersigned, as a Section 16 reporting person of Livongo Health, Inc. (the
"Company"), hereby constitutes and appoints Lee Shapiro, Erica Palsis and
Nerissa Canonizado, and each of them, as the undersigned's true and lawful
attorney-in-fact to:

        1.     complete and execute Forms 3, 4 and 5 and other forms and all
               amendments thereto as such attorney-in-fact shall in his
               discretion determine to be required or advisable pursuant to
               Section 16 of the Securities Exchange Act of 1934 (as amended)
               and the rules and regulations promulgated thereunder, or any
               successor laws and regulations, as a consequence of the
               undersigned's ownership, acquisition or disposition of securities
               of the Company; and

        2.     do all acts necessary in order to file such forms with the SEC,
               any securities exchange or national association, the Company and
               such other person or agency as the attorneys-in-fact shall deem
               appropriate.

        The undersigned hereby ratifies and confirms all that said attorneys-in-
fact and agents shall do or cause to be done by virtue hereof.  The undersigned
acknowledges that the foregoing attorneys-in-fact, in serving in such capacity
at the request of the undersigned, are not assuming, nor is the Company
assuming, any of the undersigned's responsibilities to comply with Section 16 of
the Securities Exchange Act of 1934 (as amended).

        This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 and 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 the
Company and the foregoing attorneys-in-fact.

        IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 24th day of June, 2019.


                                        Signature: /s/ Jennifer Schneider
                                                   ----------------------------

                                        Print Name: Jennifer Schneider