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