0001209191-20-056964.txt : 20201104 0001209191-20-056964.hdr.sgml : 20201104 20201104175528 ACCESSION NUMBER: 0001209191-20-056964 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201102 FILED AS OF DATE: 20201104 DATE AS OF CHANGE: 20201104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Schlegel Stephen J. CENTRAL INDEX KEY: 0001824183 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39515 FILM NUMBER: 201287986 MAIL ADDRESS: STREET 1: AMERICAN WELL CORPORATION STREET 2: 75 STATE STREET, 26TH FLOOR CITY: BOSTON STATE: MA ZIP: 02109 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: American Well Corp CENTRAL INDEX KEY: 0001393584 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 75 STATE STREET STREET 2: 26TH FLOOR CITY: Boston STATE: MA ZIP: 02109 BUSINESS PHONE: 617-205-3500 MAIL ADDRESS: STREET 1: 75 STATE STREET STREET 2: 26TH FLOOR CITY: Boston STATE: MA ZIP: 02109 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-11-02 0 0001393584 American Well Corp AMWL 0001824183 Schlegel Stephen J. C/O AMERICAN WELL CORPORATION 75 STATE STREET, 26TH FLOOR BOSTON MA 02109 1 0 0 0 Class A Common Stock 2020-11-02 4 A 0 15498 0.00 A 15498 D Represents a grant of restricted stock units, which vest over a three-year period from the grant date, with equal installments vesting on each of the first, second and third anniversaries of the grant date. /s/ Bradford Gay as attorney-in-fact for Stephen J. Schlegel 2020-11-04