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