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