Sherpa Ventures Fund, LP - 23 Sep 2021 Form 3 Insider Report for Cue Health Inc.

Role: 10%+ Owner
Signature: SHERPA VENTURES FUND, LP By: Sherpa Ventures Fund GP, LLC, its general partner By: /s/ Scott Stanford, Manager
Issuer symbol: N/A
Transactions as of: 23 Sep 2021
Net transactions value: $0
Form type: 3
Filing time: 23 Sep 2021, 21:06:09 UTC
Next filing: 30 Sep 2021
SEC: View on sec.gov

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
holding	HLTH	Common Stock						129,354	23 Sep 2021	Direct	F1
holding	HLTH	Common Stock						194,031	23 Sep 2021	Direct	F2

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
holding	HLTH	Series A Preferred Stock							23 Sep 2021	Common Stock	5,450,898		Direct	F1, F3
holding	HLTH	Series B Preferred Stock							23 Sep 2021	Common Stock	3,076,224		Direct	F1, F4
holding	HLTH	Series B Preferred Stock							23 Sep 2021	Common Stock	3,834,088		Direct	F2, F4
holding	HLTH	Series C-1 Preferred Stock							23 Sep 2021	Common Stock	1,092,329		Direct	F1, F5
holding	HLTH	Series C-1 Preferred Stock							23 Sep 2021	Common Stock	1,092,329		Direct	F2, F5

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	The shares are held directly by Sherpa Ventures Fund, LP ("ACME I"). Sherpa Ventures Fund GP, LLC ("ACME GP I") is the general partner of ACME I. Scott Stanford is the sole managing member of each of ACME GP I and ACME GP II (as defined below) and may be deemed to have voting and investment power with respect to the shares held by ACME I and ACME II (as defined below) and as a result may be deemed to have beneficial ownership of such shares. Each of the reporting persons disclaims beneficial ownership of the shares reported herein except to the extent of his or its respective pecuniary interest therein.
F2	The shares are held directly by Sherpa Ventures Fund II, LP ("ACME II"). Sherpa Ventures Fund II GP, LLC ("ACME GP II") is the general partner of ACME II. Scott Stanford is the sole managing member of each of ACME GP I and ACME GP II and may be deemed to have voting and investment power with respect to the shares held by ACME I and ACME II and as a result may be deemed to have beneficial ownership of such shares. Each of the reporting persons disclaims beneficial ownership of the shares reported herein except to the extent of his or its respective pecuniary interest therein.
F3	The Series A Preferred Stock automatically converts into the number of shares of Common Stock as shown in Column 3 of Table II without payment of further consideration at the holder's election or upon closing of the initial public offering of the Issuer's common stock. The shares have no expiration date.
F4	The Series B Preferred Stock automatically converts into the number of shares of Common Stock as shown in Column 3 of Table II without payment of further consideration at the holder's election or upon closing of the initial public offering of the Issuer's common stock. The shares have no expiration date.
F5	The Series C-1 Preferred Stock automatically converts into the number of shares of Common Stock as shown in Column 3 of Table II without payment of further consideration at the holder's election or upon closing of the initial public offering of the Issuer's common stock. The shares have no expiration date.