0000899243-19-020271.txt : 20190724 0000899243-19-020271.hdr.sgml : 20190724 20190724175808 ACCESSION NUMBER: 0000899243-19-020271 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190724 FILED AS OF DATE: 20190724 DATE AS OF CHANGE: 20190724 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kinnevik AB (publ) CENTRAL INDEX KEY: 0001766574 STATE OF INCORPORATION: V7 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38983 FILM NUMBER: 19971939 BUSINESS ADDRESS: STREET 1: SKEPPSBRON 18 CITY: STOCKHOLM STATE: V7 ZIP: SE-10313 BUSINESS PHONE: 46 8 526 000 00 MAIL ADDRESS: STREET 1: SKEPPSBRON 18 CITY: STOCKHOLM STATE: V7 ZIP: SE-10313 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kinnevik Online AB CENTRAL INDEX KEY: 0001783168 STATE OF INCORPORATION: V7 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38983 FILM NUMBER: 19971940 BUSINESS ADDRESS: STREET 1: SKEPPSBRON 18 CITY: STOCKHOLM STATE: V7 ZIP: SE-103 13 BUSINESS PHONE: 46 8 562 000 00 MAIL ADDRESS: STREET 1: SKEPPSBRON 18 CITY: STOCKHOLM STATE: V7 ZIP: SE-103 13 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 0001766574 Kinnevik AB (publ) SKEPPSBRON 18, P.O. BOX 2094 STOCKHOLM V7 SE-103 13 SWEDEN 0 0 1 0 0001783168 Kinnevik Online AB SKEPPSBRON 18, P.O. BOX 2094 STOCKHOLM V7 SE-103 13 SWEDEN 0 0 1 0 Common stock, $0.001 par value per share 1681203 I See Footnote Series A convertible preferred stock Common stock 18771 I See Footnote Series C convertible preferred stock Common stock 11268 I See Footnote Series D convertible preferred stock Common stock 2816790 I See Footnote Series E convertible preferred stock Common stock 4984100 I See Footnote The shares of common stock are directly beneficially owned by Kinnevik Online AB ("Kinnevik Online"). Kinnevik AB (publ), as the sole shareholder of Kinnevik Online, may be deemed to have shared voting and dispositive power, and therefore, beneficial ownership, over the shares of common stock owned directly by Kinnevik Online. Each share of Series A convertible preferred stock shall automatically convert into common stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering of common stock and has no expiration date. The shares of Series A convertible preferred stock, Series C convertible preferred stock, Series D convertible preferred stock and Series E convertible preferred stock (collectively, the "Preferred Stock") are directly beneficially owned by Kinnevik Online. Kinnevik AB (publ), as the sole shareholder of Kinnevik Online, may be deemed to have shared voting and dispositive power, and therefore, beneficial ownership, over the shares of Preferred Stock owned directly by Kinnevik Online. Each share of Series C convertible preferred stock shall automatically convert into common stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering of common stock and has no expiration date. Each share of Series D convertible preferred stock shall automatically convert into common stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering of common stock and has no expiration date. Each share of Series E convertible preferred stock shall automatically convert into common stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering of common stock and has no expiration date. /s/ Mattias Andersson, as authorized signatory of Kinnevik AB (publ) 2019-07-24 /s/ Torun Litzen, as authorized signatory of Kinnevik Online AB 2019-07-24