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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Restricted Stock Units | (1) | 03/04/2019 | M | 13,281 | (3) | (3) | Common Stock | 13,281 | $ 0 | 26,561 | D | ||||
Restricted Stock Units | (4) | 03/04/2019 | A | 50,333 | (5) | (5) | Common Stock | 50,333 | $ 0 | 50,333 | D | ||||
Restricted Stock Units | (1) | 03/06/2019 | M | 12,500 | (6) | (6) | Common Stock | 12,500 | $ 0 | 25,000 | D | ||||
Restricted Stock Units | (4) | 03/04/2019 | A | 27,890 | (7) | (7) | Common Stock | 27,890 | $ 0 | 27,890 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
GOREVIC JASON N C/O TELADOC HEALTH, INC., 2 MANHATTANVILLE ROAD, SUITE 203 PURCHASE, NY 10577 |
X | Chief Executive Officer |
/s/ Adam C. Vandervoort, attorney-in-fact | 03/06/2019 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Restricted stock units convert to shares of TDOC common stock on a one-for-one basis. |
(2) | Shares sold to cover the issuer's withholding obligation in respect of reporting person's award. |
(3) | On March 1, 2018, the reporting person was granted 39,842 restricted stock units, vesting in three equal annual installments beginning on the first anniversary of the grant date. |
(4) | Each restricted stock unit represents a contingent right to receive one share of TDOC common stock. |
(5) | The restricted stock unit vests in three equal annual installments beginning March 4, 2020. |
(6) | On May 25, 2017, the reporting person was granted 50,000 restricted stock units, vesting in four equal annual installments beginning on March 3, 2018. |
(7) | The restricted stock unit vests in two equal annual installments beginning March 1, 2020. |