Medeiros Jason 4

4 · American Well Corp · Filed Sep 22, 2020

Form 4

Period: 2020-08-12

Chief Information Officer

Transactions

Other
Stock Options
2020-09-21+131,999→ 131,999 total
Exercise: $1.77Exp: 2022-06-26→ Class A Common Stock (131,999 underlying)
Other
Stock Options
2020-09-21+175,999→ 175,999 total
Exercise: $1.77Exp: 2023-04-25→ Class A Common Stock (175,999 underlying)
Other
Common Stock
2020-09-21−480,252→ 0 total
Disposition to Issuer
Class A Common Stock
2020-09-21$18.00/sh−23,092$415,656→ 457,160 total
Other
Stock Options
2020-09-21−131,999→ 0 total
Exercise: $1.77Exp: 2022-06-26→ Common Stock (131,999 underlying)
Other
Class A Common Stock
2020-09-21+480,252→ 480,252 total
Award
Common Stock
2020-08-12+352,000→ 480,252 total
Other
Stock Options
2020-09-21−175,999→ 0 total
Exercise: $1.77Exp: 2023-04-25→ Common Stock (175,999 underlying)
Other
Stock Options
2020-09-21−43,999→ 0 total
Exercise: $2.21Exp: 2025-09-22→ Common Stock (43,999 underlying)
Other
Stock Options
2020-09-21+43,999→ 43,999 total
Exercise: $2.21Exp: 2025-09-22→ Class A Common Stock (43,999 underlying)
Other
Stock Options
2020-09-21−88,000→ 0 total
Exercise: $2.47Exp: 2026-04-14→ Common Stock (88,000 underlying)
Other
Stock Options
2020-09-21+88,000→ 88,000 total
Exercise: $2.47Exp: 2026-04-14→ Class A Common Stock (88,000 underlying)
Other
Stock Options
2020-09-21−87,999→ 0 total
Exercise: $5.80Exp: 2030-03-13→ Common Stock (87,999 underlying)
Other
Stock Options
2020-09-21+87,999→ 87,999 total
Exercise: $5.80Exp: 2030-03-13→ Class A Common Stock (87,999 underlying)

Footnotes (7)

[F1]Represents a grant of restricted stock units, of which 25% were immediately vested on the grant date with the remaining vesting over a three-year period from the grant date.
[F2]Pursuant to a reclassification exempt under Rule 16b-7, each share of Common Stock was reclassified into one share of Class A Common Stock. No adjustments were made to the number of shares or exercise price of stock options held by the reporting person.
[F3]The stock options were granted on June 26, 2012 and are fully vested.
[F4]The stock options were granted on April 25, 2013 and are fully vested.
[F5]The stock options were granted on September 22, 2015 and are fully vested.
[F6]The stock options were granted on April 14, 2016 and are fully vested.
[F7]The stock options were granted on March 13, 2020 and vest over a four-year period from March 1, 2020, with 25% of the options vesting on the first anniversary of the vesting commencement date and the remaining options vesting in equal quarterly installments thereafter.

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