0000899243-20-019265.txt : 20200715 0000899243-20-019265.hdr.sgml : 20200715 20200715214752 ACCESSION NUMBER: 0000899243-20-019265 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20200715 FILED AS OF DATE: 20200715 DATE AS OF CHANGE: 20200715 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cruz Shane E. CENTRAL INDEX KEY: 0001815988 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39390 FILM NUMBER: 201030610 MAIL ADDRESS: STREET 1: GOHEALTH, INC. STREET 2: 214 WEST HURON STREET CITY: CHICAGO STATE: IL ZIP: 60654 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GoHealth, Inc. CENTRAL INDEX KEY: 0001808220 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 214 WEST HURON STREET CITY: CHICAGO STATE: IL ZIP: 60654 BUSINESS PHONE: (312) 386-8222 MAIL ADDRESS: STREET 1: 214 WEST HURON STREET CITY: CHICAGO STATE: IL ZIP: 60654 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2020-07-15 0 0001808220 GoHealth, Inc. GOCO 0001815988 Cruz Shane E. 214 WEST HURON ST. CHICAGO IL 60654 0 1 0 0 Chief Operating Officer Blizzard Management Feeder LLC Interests LLC Interests 2062910 D Blizzard Management Feeder LLC Interests LLC Interests 1106901 I Shane E. Cruz 2020 Irrevocable Trust dated June 16, 2020 1,646,576 Blizzard Management Feeder LLC Interests ("Feeder Interests") are currently vested. The remaining Feeder Interests will vest in five equal annual installments beginning on September 13, 2020 and have no expiration date. Feeder Interests are convertible at the option of the holder for LLC Interests on a 1-for-1 basis, which will be subsequently redeemed for an equal number of shares of Class A Common Stock. The Feeder Interests are fully vested and currently exercisable. Exhibit 24 - Power of Attorney. /s/ Clinton P. Jones, Attorney-in-fact for Shane E. Cruz 2020-07-15 EX-24 2 attachment1.htm EX-24 DOCUMENT
                               POWER OF ATTORNEY

        With respect to holdings of and transactions in securities issued by
GoHealth, Inc. (the "Company"), the undersigned hereby constitutes and appoints
the individuals named on Schedule A attached hereto and as may be amended from
time to time, or any of them signing singly, with full power of substitution and
resubstitution, to act as the undersigned's true and lawful attorney-in-fact to:

      1.    prepare, execute in the undersigned's name and on the undersigned's
            behalf, and submit to the United States Securities and Exchange
            Commission (the "SEC") a Form ID, including amendments thereto, and
            any other documents necessary or appropriate to obtain and/or
            regenerate codes and passwords enabling the undersigned to make
            electronic filings with the SEC of reports required by Section 16(a)
            of the Securities Exchange Act of 1934, as amended, or any rule or
            regulation of the SEC;

      2.    execute for and on behalf of the undersigned, Forms 3, 4, and 5 in
            accordance with Section 16 of the Securities Exchange Act of 1934,
            as amended, and the rules thereunder;

      3.    do and perform any and all acts for and on behalf of the undersigned
            which may be necessary or desirable to complete and execute any such
            Form 3, 4, or 5, complete and execute any amendment or amendments
            thereto, and timely file such form with the SEC and any stock
            exchange or similar authority; and

      4.    take any other action of any type whatsoever in connection with the
            foregoing which, in the opinion of such attorney-in-fact, may be of
            benefit to, in the best interest of, or legally required by, the
            undersigned, it being understood that the documents executed by such
            attorney-in-fact on behalf of the undersigned pursuant to this Power
            of Attorney shall be in such form and shall contain such terms and
            conditions as such attorney-in-fact may approve in such attorney-in-
            fact's discretion.

        The undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary, or proper to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents and purposes as the
undersigned might or could do if personally present, with full power of
substitution and resubstitution or revocation, hereby ratifying and confirming
all that such attorney-in-fact, or such attorneys-in-fact substitute or
substitutes, shall lawfully do or cause to be done by virtue of this Power of
Attorney and the rights and powers herein granted.

        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 GoHealth,
Inc., unless earlier revoked by the undersigned in a signed writing delivered to
the foregoing attorneys-in-fact.


        IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney
on this 18th day of June, 2020.


Signature:   /s/ Shane E. Cruz
             -----------------

Print Name:  SHANE E. CRUZ



                                   Schedule A

        Individuals Appointed as Attorney-in-Fact with Full Power of
Substitution and Resubstitution

Clinton P. Jones
Travis J. Matthiesen