0000899243-21-001850.txt : 20210113
0000899243-21-001850.hdr.sgml : 20210113
20210113163008
ACCESSION NUMBER: 0000899243-21-001850
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210111
FILED AS OF DATE: 20210113
DATE AS OF CHANGE: 20210113
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Matthiesen Travis J.
CENTRAL INDEX KEY: 0001815991
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39390
FILM NUMBER: 21526402
MAIL ADDRESS:
STREET 1: GOHEALTH, INC.
STREET 2: 214 WEST HURON STREET
CITY: CHICAGO
STATE: IL
ZIP: 60654
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GoHealth, Inc.
CENTRAL INDEX KEY: 0001808220
STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 214 WEST HURON STREET
CITY: CHICAGO
STATE: IL
ZIP: 60654
BUSINESS PHONE: (312) 386-8222
MAIL ADDRESS:
STREET 1: 214 WEST HURON STREET
CITY: CHICAGO
STATE: IL
ZIP: 60654
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-01-11
0
0001808220
GoHealth, Inc.
GOCO
0001815991
Matthiesen Travis J.
214 WEST HURON ST.
CHICAGO
IL
60654
0
1
0
0
Chief Financial Officer
Class A Common Stock
2021-01-11
4
C
0
146000
A
146000
D
Class A Common Stock
2021-01-11
4
S
0
146000
14.9835
D
0
D
Class B Common Stock
2021-01-11
4
C
0
146000
A
146000
D
Class B Common Stock
2021-01-11
4
J
0
146000
0.00
D
0
D
Blizzard Management Feeder LLC Interests
2021-01-11
4
C
0
146000
D
LLC Interests
146000
1322204
D
LLC Interests
2021-01-11
4
C
0
146000
A
Class A Common Stock
146000
146000
D
LLC Interests
2021-01-11
4
C
0
146000
D
Class A Common Stock
146000
0
D
Each LLC Interest may be redeemed by the Reporting Person at any time for shares of Class A Common Stock on a 1-to-1 basis. Upon the redemption of any LLC Interests, a number of Class B Shares equal to the number of LLC Interests that are redeemed will be cancelled by the Issuer for no consideration.
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $14.9989 to $14.9680. The reporting person undertakes to provide GoHealth, Inc. (the "Company"), any security holder of the Company, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Blizzard Management Feeder Interests ("Feeder Interests") are convertible at the option of the holder for LLC Interests (and a corresponding number of Class B Shares) on a 1-for-1 basis, which will be subsequently redeemed for an equal number of shares of Class A Common Stock.
989,136 of the Feeder Interests are currently vested. The remaining Feeder Interests will vest in four equal annual installments beginning on September 13, 2020 and have no expiration date..
/s/ Travis J. Matthiesen
2021-01-13