0000899243-21-041612.txt : 20211026 0000899243-21-041612.hdr.sgml : 20211026 20211026194340 ACCESSION NUMBER: 0000899243-21-041612 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211026 FILED AS OF DATE: 20211026 DATE AS OF CHANGE: 20211026 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shachar Erez CENTRAL INDEX KEY: 0001601099 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39314 FILM NUMBER: 211350210 MAIL ADDRESS: STREET 1: C/O EVERGREEN VENTURE PARTNERS STREET 2: 25 HABARZEL ST. CITY: TEL-AVIV STATE: L3 ZIP: 69710 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Talkspace, Inc. CENTRAL INDEX KEY: 0001803901 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000] IRS NUMBER: 844636604 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 570 LEXINGTON AVENUE, 35TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: (212) 284-7206 MAIL ADDRESS: STREET 1: 570 LEXINGTON AVENUE, 35TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 FORMER COMPANY: FORMER CONFORMED NAME: Hudson Executive Investment Corp. DATE OF NAME CHANGE: 20200219 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-10-26 0 0001803901 Talkspace, Inc. TALK 0001601099 Shachar Erez C/O TALKSPACE, INC. 2578 BROADWAY #607 NEW YORK NY 10025 1 0 0 0 Common Stock 2021-10-26 4 A 0 15384 0.00 A 15384 D Common Stock 8573437 I By Qumra Capital II, L.P. Stock Options 8.52 2021-10-26 4 A 0 63402 0.00 A 2031-10-25 Common Stock 63402 63402 D Consists of restricted stock units ("RSUs"). Each RSU represents a contingent right to receive one share of Talkspace, Inc. common stock. The RSUs vest in four equal annual installments beginning on June 22, 2022. Qumra Capital GP II, L.P. ("Qumra GP II") is the general partner of be held by Qumra Capital II, L.P ("Qumra II") and Qumra Capital Israel I Ltd. ("Qumra Capital Israel I") is the general partner of Qumra GP II. Mr. Shachar is a managing partner of Qumra Capital Israel I and disclaims beneficial ownership of the shares held of record by Qumra II except to the extent of his pecuniary interest therein. The stock option vests in 4 equal annual installments beginning on June 22, 2022. By: /s/ John Reilly, Attorney-in-fact for Erez Shachar 2021-10-26