Christopher K. Achar - 23 Sep 2021 Form 3 Insider Report for Cue Health Inc.

Role
Chief Strategy Officer, Director
Signature
/s/ Erica Palsis, Attorney-in-Fact for Chris Achar
Issuer symbol
N/A
Transactions as of
23 Sep 2021
Net transactions value
$0
Form type
3
Filing time
23 Sep 2021, 21:07:03 UTC
Next filing
28 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 1,520,000 23 Sep 2021 See Footnote F1

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 B Preferred Stock 23 Sep 2021 Common Stock 69,710 Direct F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The securities are directly held by Hlth Wrk LLC. Chris Achar is the sole manager of Hlth Wrk LLC and may be deemed to have voting and investment power with respect to the shares held by Hlth Wrk LLC and as a result may be deemed to have beneficial ownership of such shares.
F2 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.

Remarks:

Exhibit Index: 24.1 Power of Attorney