0000899243-19-030116.txt : 20191227 0000899243-19-030116.hdr.sgml : 20191227 20191227165049 ACCESSION NUMBER: 0000899243-19-030116 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191224 FILED AS OF DATE: 20191227 DATE AS OF CHANGE: 20191227 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Davidoff Michael J. CENTRAL INDEX KEY: 0001777450 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38977 FILM NUMBER: 191314040 MAIL ADDRESS: STREET 1: C/O PHREESIA, INC. STREET 2: 432 PARK AVENUE S., 12TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10016 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Phreesia, Inc. CENTRAL INDEX KEY: 0001412408 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 432 PARK AVENUE S. STREET 2: 12TH FLOOR CITY: New York STATE: NY ZIP: 10016 BUSINESS PHONE: 646-747-9959 MAIL ADDRESS: STREET 1: 432 PARK AVENUE S. STREET 2: 12TH FLOOR CITY: New York STATE: NY ZIP: 10016 FORMER COMPANY: FORMER CONFORMED NAME: Phreesia Inc DATE OF NAME CHANGE: 20070914 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-12-24 0 0001412408 Phreesia, Inc. PHR 0001777450 Davidoff Michael J. C/O PHREESIA, INC. 432 PARK AVENUE SOUTH, 12TH FLOOR NEW YORK NY 10016 0 1 0 0 See Remarks Common Stock 2019-12-24 4 M 0 1545 0.73 A 20478 D Stock Option (Right to Buy) 0.73 2019-12-24 4 M 0 1545 0.00 D 2020-02-25 Common Stock 3006 3006 D These shares are subject to a Lock-Up Agreement (the "Lock-up") until January 26, 2020. The terms of the Lock-up permit the exercise of options by the Reporting Person and the shares of Common Stock issued as a result of the exercise are subject to the terms of the Lock-up. No shares of Common Stock were sold by the Reporting Person in connection with the exercise. Includes 11,377 Restricted Stock Units ("RSUs") issued under the Phreesia, Inc. 2018 Stock Option and Grant Plan. Each RSU represents the right to receive one share of Common Stock. This option is fully vested and exercisable as of the date hereof. SVP, Marketing and Business Development /s/ Charles Kallenbach by Power of Attorney for Michael Davidoff 2019-12-24