0001213900-20-035993.txt : 20201109 0001213900-20-035993.hdr.sgml : 20201109 20201109173646 ACCESSION NUMBER: 0001213900-20-035993 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20201030 FILED AS OF DATE: 20201109 DATE AS OF CHANGE: 20201109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Warburg Pincus Private Equity XI, L.P. CENTRAL INDEX KEY: 0001540163 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39160 FILM NUMBER: 201298910 BUSINESS ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: 450 LEXINGTON AVENUE STATE: NY ZIP: 10017 BUSINESS PHONE: 212-878-0600 MAIL ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: 450 LEXINGTON AVENUE STATE: NY ZIP: 10017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WPXI GP, L.P. CENTRAL INDEX KEY: 0001743648 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39160 FILM NUMBER: 201298911 BUSINESS ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVE CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 212-878-0600 MAIL ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVE CITY: NEW YORK STATE: NY ZIP: 10017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WPXI Finance, LP CENTRAL INDEX KEY: 0001742449 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39160 FILM NUMBER: 201298912 BUSINESS ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 212-878-0600 MAIL ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SOC Holdings LLC CENTRAL INDEX KEY: 0001831482 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39160 FILM NUMBER: 201298913 BUSINESS ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 212-878-0600 MAIL ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WARBURG PINCUS & CO. CENTRAL INDEX KEY: 0000929408 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39160 FILM NUMBER: 201298914 BUSINESS ADDRESS: STREET 1: 450 LEXINGTON AVENUE STREET 2: NEW YORK CITY: NY STATE: NY ZIP: 100173147 BUSINESS PHONE: 2128780600 MAIL ADDRESS: STREET 1: 450 LEXINGTON AVENUE STREET 2: NEW YORK CITY: NY STATE: NY ZIP: 100173147 FORMER NAME: FORMER CONFORMED NAME: WARBURG PINCUS & CO DATE OF NAME CHANGE: 19940901 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Warburg Pincus Partners GP LLC CENTRAL INDEX KEY: 0001621224 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39160 FILM NUMBER: 201298915 BUSINESS ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 212-878-0600 MAIL ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Warburg Pincus Partners II, L.P. CENTRAL INDEX KEY: 0001658787 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39160 FILM NUMBER: 201298916 BUSINESS ADDRESS: STREET 1: 450 LEXINGTON AVENUE STREET 2: C/O WARBURG PINCUS LLC CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 2128780600 MAIL ADDRESS: STREET 1: 450 LEXINGTON AVENUE STREET 2: C/O WARBURG PINCUS LLC CITY: NEW YORK STATE: NY ZIP: 10017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WP Global LLC CENTRAL INDEX KEY: 0001540385 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39160 FILM NUMBER: 201298917 BUSINESS ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 212-878-0600 MAIL ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Warburg Pincus XI, L.P. CENTRAL INDEX KEY: 0001540167 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39160 FILM NUMBER: 201298918 BUSINESS ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: 450 LEXINGTON AVENUE STATE: NY ZIP: 10017 BUSINESS PHONE: 212-878-0600 MAIL ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: 450 LEXINGTON AVENUE STATE: NY ZIP: 10017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Warburg Pincus XI Partners, L.P. CENTRAL INDEX KEY: 0001540386 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39160 FILM NUMBER: 201298919 BUSINESS ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 212-878-0600 MAIL ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 FORMER NAME: FORMER CONFORMED NAME: WArburg Pincus XI Partners, L.P. DATE OF NAME CHANGE: 20120125 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 3 1 ownership.xml X0206 3 2020-10-30 0 0001791091 SOC Telemed, Inc. TLMD 0000929408 WARBURG PINCUS & CO. 450 LEXINGTON AVENUE NEW YORK NY 10017 1 0 1 0 0001831482 SOC Holdings LLC 450 LEXINGTON AVENUE NEW YORK NY 10017 1 0 1 0 0001742449 WPXI Finance, LP 450 LEXINGTON AVENUE NEW YORK NY 10017 1 0 1 0 0001743648 WPXI GP, L.P. 450 LEXINGTON AVENUE NEW YORK NY 10017 1 0 1 0 0001540163 Warburg Pincus Private Equity XI, L.P. 450 LEXINGTON AVENUE NEW YORK NY 10017 1 0 1 0 0001540386 Warburg Pincus XI Partners, L.P. 450 LEXINGTON AVENUE NEW YORK NY 10017 1 0 1 0 0001540167 Warburg Pincus XI, L.P. 450 LEXINGTON AVENUE NEW YORK NY 10017 1 0 1 0 0001540385 WP Global LLC 450 LEXINGTON AVENUE NEW YORK NY 10017 1 0 1 0 0001658787 Warburg Pincus Partners II, L.P. 450 LEXINGTON AVENUE NEW YORK NY 10017 1 0 1 0 0001621224 Warburg Pincus Partners GP LLC 450 LEXINGTON AVENUE NEW YORK NY 10017 1 0 1 0 Class A Common Stock 33874965 I See Footnotes Pursuant to an Agreement and Plan of Merger, dated as of July 29, 2020 (the "Merger Agreement"), by and among Healthcare Merger Corp. ("HCMC"), Sabre Merger Sub I, Inc. ("First Merger Sub"), a wholly owned subsidiary of HCMC, Sabre Merger Sub II, LLC ("Second Merger Sub"), a wholly owned subsidiary of HCMC, and Specialists On Call, Inc. ("Legacy SOC Telemed"), pursuant to which First Merger Sub merged with and into Legacy SOC Telemed, with Legacy SOC Telemed being the surviving corporation, immediately followed by Legacy SOC Telemed merging with and into Second Merger Sub, with Second Merger Sub surviving the merger as a wholly owned subsidiary of HCMC (the "Mergers" and, together with the other transactions contemplated by the Merger Agreement, the "Business Combination"). In connection with the consummation of the Business Combination on October 30, 2020 (the "Closing"), HCMC changed its name to SOC Telemed, Inc. (the "Issuer"). Pursuant to the terms of the Merger Agreement, the owners of Legacy SOC Telemed prior to the Closing were paid, in addition to approximately $75.1 million in cash, an aggregate of 48,504,895 shares of Class A common stock of the Issuer as merger consideration in connection with the Closing. Reflects shares of Class A common stock held directly by SOC Holdings LLC. SOC Holdings LLC is controlled by WPXI Finance, LP ("WPXIF") and Warburg Pincus XI Partners, L.P. ("WPXI Partners"). WPXIF is a subsidiary of Warburg Pincus Private Equity XI, L.P. ("WPXI"). WPXI Partners and WPXI are collectively referred to as the "WPXI Funds." WPXI GP, L.P. ("WPXIF GP") is the managing general partner of WPXIF. WPXI is the general partner of WPXIF GP. Warburg Pincus XI, L.P. ("WP XI GP") is the general partner of each of WPXI and WPXI Partners. WP Global LLC ("WP Global") is the general partner of WP XI GP. Warburg Pincus Partners II, L.P. ("WPP II") is the managing member of WP Global. Warburg Pincus Partners GP LLC ("WPP GP LLC") is the general partner of WPP II. Warburg Pincus & Co. ("WP") is the managing member of WPP GP LLC. Warburg Pincus LLC ("WP LLC") is the manager of the WPXI Funds. Each of WPXIF, WPXI Partners, WPXIF GP, WPXI, WP XI GP, WP Global, WPP II, WPP GP LLC, WP and WP LLC disclaim beneficial ownership of all shares held by SOC Holdings LLC, except to the extent of its pecuniary interest therein, if any. Each of SOC Holdings LLC, WPXIF, WPXI Partners, WPXIF GP, WPXI, WP XI GP, WP Global, WPP II, WPP GP LLC, WP and WP LLC is a director-by-deputization solely for purposes of Section 16 of the Exchange Act. Form 1 of 2. Two reports are filed that relate to the same transactions. See Form 2 of 2 for additional reporting entities. Exhibit 99.1 list of reporting owners and signature page filed herewith. See Exhibit 99.1 2020-11-09 EX-99.1 2 ea129571ex99-1_soctelemed.htm LIST OF REPORTING OWNERS AND SIGNATURE PAGE

Exhibit 99.1

 

List of Reporting Owners and Signature Page

 

Name of designated filer: Warburg Pincus & Co.

 

Other joint filers: SOC Holdings LLC, WPXI Finance, LP, WPXI GP, L.P., Warburg Pincus Private Equity XI, L.P., Warburg Pincus XI Partners, L.P., Warburg Pincus XI, L.P., WP Global LLC, Warburg Pincus Partners II, L.P., Warburg Pincus Partners GP LLC, and Warburg Pincus LLC

 

Address for each joint filer is: c/o Warburg Pincus & Co., 450 Lexington Avenue, New York, New York 10017

 

Issuer Name and Ticker or Trading Symbol: SOC Telemed, Inc. (TLMD)

 

  SOC HOLDINGS LLC
   
  By: /s/ Robert B. Knauss 11/9/2020
    ** Signature of Reporting Person Date
  Name:   Robert B. Knauss
  Title: Vice President and Secretary
   
  WPXI FINANCE, LP
   
  By:  WPXI GP, L.P., its managing general partner
  By:  Warburg Pincus Private Equity XI, L.P., its general partner
  By:  Warburg Pincus XI, L.P., its general partner
  By:  WP Global LLC, its general partner
  By:  Warburg Pincus Partners II, L.P., its managing member
  By:  Warburg Pincus Partners GP LLC, its general partner
  By:  Warburg Pincus & Co., its managing member
   
  By:  /s/ Robert B. Knauss 11/9/2020
    ** Signature of Reporting Person Date
  Name:  Robert B. Knauss
  Title:  Partner
   
  WPXI GP, L.P.
   
  By:  Warburg Pincus Private Equity XI, L.P., its general partner
  By:  Warburg Pincus XI, L.P., its general partner
  By:  WP Global LLC, its general partner
  By:  Warburg Pincus Partners II, L.P., its managing member
  By:  Warburg Pincus Partners GP LLC, its general partner
  By:  Warburg Pincus & Co., its managing member
   
  By:  /s/ Robert B. Knauss 11/9/2020
    ** Signature of Reporting Person Date
  Name:  Robert B. Knauss
  Title:  Partner

 

 

 

 

  WARBURG PINCUS PRIVATE EQUITY XI, L.P.
   
  By:  Warburg Pincus XI, L.P., its general partner
  By:  WP Global LLC, its general partner
  By:  Warburg Pincus Partners II, L.P., its managing member
  By:  Warburg Pincus Partners GP LLC, its general partner
  By:  Warburg Pincus & Co., its managing member
   
  By:  /s/ Robert B. Knauss 11/9/2020
    ** Signature of Reporting Person Date
  Name:  Robert B. Knauss
  Title:  Partner
   
  WARBURG PINCUS XI PARTNERS, L.P.
   
  By:  Warburg Pincus XI, L.P., its general partner
  By:  WP Global LLC, its general partner
  By:  Warburg Pincus Partners II, L.P., its managing member
  By:  Warburg Pincus Partners GP LLC, its general partner
  By:  Warburg Pincus & Co., its managing member
   
  By:  /s/ Robert B. Knauss 11/9/2020
    ** Signature of Reporting Person Date
  Name:  Robert B. Knauss
  Title:  Partner
   
  WARBURG PINCUS XI, L.P.
   
  By:  WP Global LLC, its general partner
  By:  Warburg Pincus Partners II, L.P., its managing member
  By:  Warburg Pincus Partners GP LLC, its general partner
  By:  Warburg Pincus & Co., its managing member
   
  By:  /s/ Robert B. Knauss 11/9/2020
    ** Signature of Reporting Person Date
  Name:  Robert B. Knauss
  Title:  Partner
   
  WP GLOBAL LLC
   
  By:  Warburg Pincus Partners II, L.P., its managing member
  By:  Warburg Pincus Partners GP LLC, its general partner
  By:  Warburg Pincus & Co., its managing member
   
  By:  /s/ Robert B. Knauss 11/9/2020
    ** Signature of Reporting Person Date
  Name:  Robert B. Knauss
  Title:  Partner

 

 

 

 

  WARBURG PINCUS PARTNERS II, L.P.
   
  By:  Warburg Pincus Partners GP LLC, its general partner
  By:  Warburg Pincus & Co., its managing member
   
  By:  /s/ Robert B. Knauss 11/9/2020
    ** Signature of Reporting Person Date
  Name:  Robert B. Knauss
  Title:  Partner
   
  WARBURG PINCUS PARTNERS GP LLC
   
  By:  Warburg Pincus & Co., its managing member
   
  By:  /s/ Robert B. Knauss 11/9/2020
    ** Signature of Reporting Person Date
  Name:  Robert B. Knauss
  Title:  Partner
   
  WARBURG PINCUS & CO.
   
  By:  /s/ Robert B. Knauss 11/9/2020
    ** Signature of Reporting Person Date
  Name:  Robert B. Knauss
  Title:  Partner
   
  WARBURG PINCUS LLC
   
  By:  /s/ Robert B. Knauss 11/9/2020
    ** Signature of Reporting Person Date
  Name:  Robert B. Knauss
  Title:  Managing Director