0001213900-23-016863.txt : 20230302 0001213900-23-016863.hdr.sgml : 20230302 20230302170137 ACCESSION NUMBER: 0001213900-23-016863 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230228 FILED AS OF DATE: 20230302 DATE AS OF CHANGE: 20230302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: O'Reilly Roderick H. CENTRAL INDEX KEY: 0001778428 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40890 FILM NUMBER: 23700105 MAIL ADDRESS: STREET 1: C/O CHANGE HEALTHCARE INC. STREET 2: 3055 LEBANON PIKE, SUITE 1000 CITY: NASHVILLE STATE: TN ZIP: 37214 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Augmedix, Inc. CENTRAL INDEX KEY: 0001769804 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 833299164 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 111 SUTTER STREET, SUITE 1300 CITY: SAN FRANCISC STATE: CA ZIP: 94104 BUSINESS PHONE: 561-989-2208 MAIL ADDRESS: STREET 1: 111 SUTTER STREET, SUITE 1300 CITY: SAN FRANCISC STATE: CA ZIP: 94104 FORMER COMPANY: FORMER CONFORMED NAME: Malo Holdings Corp DATE OF NAME CHANGE: 20190305 4 1 ownership.xml X0306 4 2023-02-28 0 0001769804 Augmedix, Inc. AUGX 0001778428 O'Reilly Roderick H. C/O AUGMEDIX, INC. 111 SUTTER STREET, SUITE 1300 SAN FRANCISCO CA 94104 1 0 0 0 Employee Stock Option (right to buy) 1.62 2023-02-28 4 A 0 370000 0.00 A 2033-02-28 Common Stock 370000 370000 D The option is granted under the Augmedix, Inc. (the "Issuer") 2020 Equity Incentive Plan. Twenty-five percent (25%) of the shares subject to the Option shall vest on the one (1) year anniversary of the grant date and the remaining shares subject to the Option shall vest subsequently in thirty-six (36) equal monthly increments, subject to the Reporting Person's provision of service to the Issuer on each vesting date. /s/ Todd Holvick, Attorney-in-Fact 2023-03-02