Xiangmin Cui - Sep 28, 2021 Form 4 Insider Report for Cue Health Inc. (HLTH)

Role
Director
Signature
/s/ Erica Palsis, Attorney-in-Fact for Xiangmin Cui
Stock symbol
HLTH
Transactions as of
Sep 28, 2021
Transactions value $
$10,092,045
Form type
4
Date filed
9/30/2021, 05:43 PM
Previous filing
Sep 23, 2021
Next filing
Jan 4, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction HLTH Common Stock Conversion of derivative security +8.19M 8.19M Sep 28, 2021 See Footnote F1, F2
transaction HLTH Common Stock Award $10.1M +788K $12.80* 788K Sep 28, 2021 See Footnote 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 C-1 Preferred Stock Conversion of derivative security $0 -8.19M -100% $0.00* 0 Sep 28, 2021 Common Stock 8.19M See Footnote F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 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.
F2 The shares are held directly by Decheng Capital China Life Sciences USD Fund III, L.P. (the "Fund"). Decheng Capital Management III (Cayman), LLC (the "GP") is the general partner of the Fund. The reporting person is the manager of the GP and disclaims beneficial ownership of such securities held by the Fund, except to the extent of his pecuniary interest therein, if any.
F3 On September 28, 2021, outstanding principal and accrued interest underlying a convertible note automatically converted into Common Stock upon the closing of the initial public offering of the Issuer's common stock at a conversion price equal to 80% of the initial public offering price per share.
F4 The shares are held directly by Decheng Capital Global Healthcare Fund (Master), LLC, whose general partner is Decheng Capital Global Healthcare GP, LLC. The reporting person is the sole member and manager of Decheng Capital Global Healthcare GP, LLC. The reporting person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, if any.