Cove Investors I, LLC - 28 Sep 2021 Form 4 Insider Report for Cue Health Inc.

Role
10%+ Owner
Signature
Cove Investors I, LLC, By: /s/ Peter Carlton, President of Oakmont Corporation, the Administrator of the Security Holder
Issuer symbol
N/A
Transactions as of
28 Sep 2021
Net transactions value
$0
Form type
4
Filing time
30 Sep 2021, 16:38:54 UTC
Previous filing
23 Sep 2021
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction HLTH Common Stock Conversion of derivative security +6,721,714 +119% 12,377,254 28 Sep 2021 See Footnote F1, F2, F3, F4

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
transaction HLTH Series A Preferred Stock Conversion of derivative security -1,090,180 -100% 0 28 Sep 2021 Common Stock 1,090,180 See Footnote F1, F5
transaction HLTH Series B Preferred Stock Conversion of derivative security -5,358,452 -100% 0 28 Sep 2021 Common Stock 5,358,452 See Footnote F2, F6
transaction HLTH Series C-1 Preferred Stock Conversion of derivative security -273,082 -100% 0 28 Sep 2021 Common Stock 273,082 See Footnote F3, F6
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Cove Investors I, LLC is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may continue.

Explanation of Responses:

Id Content
F1 On September 28, 2021, the Series A Preferred Stock automatically converted into Common Stock on a one-to-one basis without payment of further consideration upon the closing of the initial public offering of the Issuer's common stock. The shares had no expiration date.
F2 On September 28, 2021, the Series B Preferred Stock automatically converted into Common Stock on a one-to-one basis without payment of further consideration upon the closing of the initial public offering of the Issuer's common stock. The shares had no expiration date.
F3 On September 28, 2021, the Series C-1 Preferred Stock automatically converted into Common Stock on a one-to-one basis without payment of further consideration upon the closing of the initial public offering of the Issuer's common stock. The shares had no expiration date.
F4 Includes 6,745,720 shares held directly by Cove Investors I, LLC ("Cove I") and 5,631,534 shares held directly by Cove Investors II, LLC ("Cove II"). Kelly Day is the member of Cove I and Cove II with authority to direct the voting interests of Cove I and Cove II with respect to shares held by Cove I and Cove II, respectively, and as a result may be deemed to have beneficial ownership of such shares.
F5 The shares are held directly by Cove I. Kelly Day is the member of Cove I with authority to direct the voting interests of Cove I with respect to shares held by Cove I, and as a result may be deemed to have beneficial ownership of such shares.
F6 The shares are held directly by Cove II. Kelly Day is the member of Cove II with authority to direct the voting interests of Cove II with respect to shares held by Cove II, and as a result may be deemed to have beneficial ownership of such shares.