0000899243-20-019897.txt : 20200721
0000899243-20-019897.hdr.sgml : 20200721
20200721194958
ACCESSION NUMBER: 0000899243-20-019897
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200717
FILED AS OF DATE: 20200721
DATE AS OF CHANGE: 20200721
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Matthiesen Travis J.
CENTRAL INDEX KEY: 0001815991
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39390
FILM NUMBER: 201039972
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-07-17
0
0001808220
GoHealth, Inc.
GOCO
0001815991
Matthiesen Travis J.
214 WEST HURON ST.
CHICAGO
IL
60654
0
1
0
0
Chief Financial Officer
Blizzard Management Feeder LLC Interests
2020-07-17
4
D
0
25972
19.95
D
LLC Interests
25972
1468204
D
Blizzard Management Feeder Interests ("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.
As described in the prospectus filed by the Issuer with the Securities and Exchange Commission, upon the closing of the offering, the Issuer redeemed the Feeder Interests from the reporting person in exchange for an aggregate consideration of $19.95 per Feeder Interest.
1,051,870 of the 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..
/s/ Clinton P. Jones, Attorney-in-fact for Travis J. Matthiesen
2020-07-21