0001209191-21-038693.txt : 20210607
0001209191-21-038693.hdr.sgml : 20210607
20210607170652
ACCESSION NUMBER: 0001209191-21-038693
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210603
FILED AS OF DATE: 20210607
DATE AS OF CHANGE: 20210607
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kronfol Amr
CENTRAL INDEX KEY: 0001731772
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39160
FILM NUMBER: 211000285
MAIL ADDRESS:
STREET 1: C/O WARBURG PINCUS LLC
STREET 2: 450 LEXINGTON AVE
CITY: NEW YORK
STATE: NY
ZIP: 10017
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SOC Telemed, Inc.
CENTRAL INDEX KEY: 0001791091
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090]
IRS NUMBER: 843131208
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1768 BUSINESS CENTER DRIVE
STREET 2: SUITE 100
CITY: RESTON
STATE: VA
ZIP: 20190
BUSINESS PHONE: 866-483-9690
MAIL ADDRESS:
STREET 1: 1768 BUSINESS CENTER DRIVE
STREET 2: SUITE 100
CITY: RESTON
STATE: VA
ZIP: 20190
FORMER COMPANY:
FORMER CONFORMED NAME: Healthcare Merger Corp.
DATE OF NAME CHANGE: 20191015
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-06-03
0
0001791091
SOC Telemed, Inc.
TLMD
0001731772
Kronfol Amr
C/O SOC TELEMED, INC.
1768 BUSINESS CENTER DRIVE, SUITE 100
RESTON
VA
20190
1
0
0
0
Class A Common Stock
2021-06-03
4
A
0
21067
0.00
A
101325
D
Represents restricted stock units ("RSUs"), each of which represents a contingent right to receive one share of the Issuer's Class A Common Stock. The RSUs will vest in full on the first to occur of (x) the one-year anniversary of the grant date and (y) the date of the Issuer's next annual meeting of stockholders, subject to the continuous service of the Reporting Person as a member of the Issuer's Board of Directors through such vesting date.
On the Reporting Person's Form 4 filed on November 3, 2020, the number of shares of Class A Common Stock received in connection with the Issuer's Business Combination was overreported by 1 share due to a rounding error. The number of shares has been corrected on this Form 4 filing.
/s/ Eunice Kim, as Attorney-in-Fact
2021-06-07