0001209191-20-056800.txt : 20201103 0001209191-20-056800.hdr.sgml : 20201103 20201103201902 ACCESSION NUMBER: 0001209191-20-056800 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201030 FILED AS OF DATE: 20201103 DATE AS OF CHANGE: 20201103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Timm Alexander E. CENTRAL INDEX KEY: 0001815994 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39658 FILM NUMBER: 201284940 MAIL ADDRESS: STREET 1: GOHEALTH, INC. STREET 2: 214 WEST HURON STREET CITY: CHICAGO STATE: IL ZIP: 60654 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Root, Inc. CENTRAL INDEX KEY: 0001788882 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 842717903 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 80 E RICH STREET STREET 2: SUITE 500 CITY: COLUMBUS STATE: OH ZIP: 43215 BUSINESS PHONE: (614) 591-4568 MAIL ADDRESS: STREET 1: 80 E RICH STREET STREET 2: SUITE 500 CITY: COLUMBUS STATE: OH ZIP: 43215 FORMER COMPANY: FORMER CONFORMED NAME: Root Stockholdings, Inc. DATE OF NAME CHANGE: 20190919 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-10-30 0 0001788882 Root, Inc. ROOT 0001815994 Timm Alexander E. C/O ROOT, INC. 80 E RICH STREET, SUITE 500 COLUMBUS OH 43215 1 1 1 0 Chief Executive Officer Common Stock 2020-10-30 4 J 0 17094168 D 0 D Common Stock 2020-10-30 4 J 0 1920935 D 0 I See footnote Common Stock 2020-10-30 4 J 0 194250 D 0 I See footnote Class B Common Stock 2020-10-30 4 J 0 17094168 0.00 A Class A Common Stock 17094168 17094168 D Class B Common Stock 2020-10-30 4 J 0 1920935 0.00 A Class A Common Stock 1920935 1920935 I See footnote Class B Common Stock 2020-10-30 4 J 0 194250 0.00 A Class A Common Stock 194250 194250 I See footnote Immediately prior to the completion of the Issuer's initial public offering, each share of Common Stock was reclassified into one share of Class B Common Stock in an exempt transaction pursuant to Rule 16b-7. The shares are held by the Timm 2020 GRAT for which the Reporting Person is a trustee. The shares are held by the Timm Descendants Trust for which the Reporting Person's spouse is a trustee Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date. /s/ Megan Binkley, Attorney-in-fact 2020-11-03