0000899243-21-010188.txt : 20210305
0000899243-21-010188.hdr.sgml : 20210305
20210305182021
ACCESSION NUMBER: 0000899243-21-010188
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210305
FILED AS OF DATE: 20210305
DATE AS OF CHANGE: 20210305
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Schlosser Mario
CENTRAL INDEX KEY: 0001844320
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40154
FILM NUMBER: 21719974
MAIL ADDRESS:
STREET 1: C/O OSCAR HEALTH, INC.
STREET 2: 75 VARICK STREET, 5TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10013
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Oscar Health, Inc.
CENTRAL INDEX KEY: 0001568651
STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 75 VARICK STREET
STREET 2: 5TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10013
BUSINESS PHONE: (646) 403-3677
MAIL ADDRESS:
STREET 1: 75 VARICK STREET
STREET 2: 5TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10013
FORMER COMPANY:
FORMER CONFORMED NAME: Mulberry Health Inc.
DATE OF NAME CHANGE: 20130204
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-03-05
0
0001568651
Oscar Health, Inc.
OSCR
0001844320
Schlosser Mario
75 VARICK STREET, 5TH FLOOR
NEW YORK
NY
10013
1
1
0
0
Chief Executive Officer
Class A Common Stock
2021-03-05
4
S
0
146514
39.00
D
0
D
Class A Common Stock
2021-03-05
4
C
0
219772
A
219772
I
By Pizzo-Schlosser 2020 GRAT and Spousal Trust
Class A Common Stock
2021-03-05
4
S
0
219772
39.00
D
0
I
By Pizzo-Schlosser 2020 GRAT and Spousal Trust
Performance Restricted Stock Units
2021-03-05
4
A
0
4229853
0.00
A
2028-03-05
Class A Common Stock
4229853
4229853
D
Restricted Stock Units
2021-03-05
4
A
0
17
0.00
A
Class A Common Stock
17
17
D
Class B Common Stock
2021-03-05
4
C
0
219772
D
Class A Common Stock
219772
956744
I
By Pizzo-Schlosser 2020 GRAT and Spousal Trust
Class B Common Stock
Class A Common Stock
333333
333333
I
By Noah Pizzo-Schlosser Dynasty Trust
Class B Common Stock
Class A Common Stock
633333
633333
I
By Pizzo-Schlosser Family Dynasty Trust
Class B Common Stock
Class A Common Stock
333333
333333
I
By Siena Pizzo-Schlosser Dynasty Trust
The Class B common stock is convertible at any time at the option of the holder into Class A common stock on a one-to-one basis, subject to certain exceptions, and will mandatorily convert into Class A common stock on the date that is seven years from the date of the prospectus used in connection with the Issuer's initial public offering and upon the occurrence of certain events as set forth in the Issuer's certificate of incorporation.
Mr. Schlosser disclaims beneficial ownership over the shares held of record by the trust except to the extent of his pecuniary interest therein, if any.
Each performance restricted stock unit represents a contingent right to receive one share of Class A common stock.
The performance restricted stock units vest upon the Issuer's common stock achieving certain specified price per share targets ranging from $90 to $270 per share.
Each restricted stock unit represents a contingent right to receive one share of Class A common stock.
The restricted stock units vest upon the earlier of (i) 180 days after the IPO date, or (ii) the second day following the expiration of the underwriter-mandated lock-up period associated with the Issuer's initial public offering.
/s/ Harold Greenberg, Attorney-in-fact
2021-03-05