0001209191-20-006400.txt : 20200204 0001209191-20-006400.hdr.sgml : 20200204 20200204164040 ACCESSION NUMBER: 0001209191-20-006400 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200204 FILED AS OF DATE: 20200204 DATE AS OF CHANGE: 20200204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kennedy David P CENTRAL INDEX KEY: 0001800529 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39203 FILM NUMBER: 20574378 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER, SUITE 1900 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: 1Life Healthcare Inc CENTRAL INDEX KEY: 0001404123 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011] IRS NUMBER: 760707204 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE EMBARCADERO CENTER, SUITE 1900 CITY: San Francisco STATE: CA ZIP: 94111 BUSINESS PHONE: 415-658-6792 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER, SUITE 1900 CITY: San Francisco STATE: CA ZIP: 94111 FORMER COMPANY: FORMER CONFORMED NAME: 1life Healthcare Inc DATE OF NAME CHANGE: 20070621 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-02-04 0 0001404123 1Life Healthcare Inc ONEM 0001800529 Kennedy David P C/O 1LIFE HEALTHCARE, INC. ONE EMBARCADERO CENTER, SUITE 1900 SAN FRANCISCO CA 94111 1 0 0 0 Common Stock 2020-02-04 4 C 0 312341 A 381341 I By Trust Series B Preferred Stock 2020-02-04 4 C 0 312341 0.00 D Common Stock 312341 0 I By Trust Each share of Issuer's Preferred Stock automatically converted into an equal number of shares of Issuer's Common Stock upon the closing of the Issuer's initial public offering and has no expiration date. Shares held by the Cape Lone Star Trust for which Reporting Person and his wife are trustees. /s/ John T. McKenna, Attorney-in-Fact for David P. Kennedy 2020-02-04