0000899243-21-036481.txt : 20210917 0000899243-21-036481.hdr.sgml : 20210917 20210917200701 ACCESSION NUMBER: 0000899243-21-036481 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210915 FILED AS OF DATE: 20210917 DATE AS OF CHANGE: 20210917 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dudum Andrew CENTRAL INDEX KEY: 0001837796 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38986 FILM NUMBER: 211261820 MAIL ADDRESS: STREET 1: 2269 CHESTNUT STREET, #523 CITY: SAN FRANCISCO STATE: CA ZIP: 94123 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Hims & Hers Health, Inc. CENTRAL INDEX KEY: 0001773751 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2269 CHESTNUT ST STREET 2: #523 CITY: SAN FRANCISCO STATE: CA ZIP: 94123 BUSINESS PHONE: 415-851-0195 MAIL ADDRESS: STREET 1: 2269 CHESTNUT ST STREET 2: #523 CITY: SAN FRANCISCO STATE: CA ZIP: 94123 FORMER COMPANY: FORMER CONFORMED NAME: Oaktree Acquisition Corp. DATE OF NAME CHANGE: 20190412 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-09-15 0 0001773751 Hims & Hers Health, Inc. HIMS 0001837796 Dudum Andrew 2269 CHESTNUT STREET, #523 SAN FRANCISCO CA 94123 1 1 1 0 Chief Executive Officer Class A Common Stock 2021-09-15 4 M 0 41210 A 228063 D Class A Common Stock 2021-09-15 4 F 0 22104 8.66 D 205959 D Class A Common Stock 8232404 I Held by Trustee of Andrew Dudum 2015 Trust Dated July 2, 2015 Class A Common Stock 2870509 I Held by Trustee of the AD GRAT dated 8/31/20 Class A Common Stock 8280910 I Held by Atomic Labs II, L.P. Restricted Stock Unit 2021-09-15 4 M 0 9923 0.00 D Class A Common Stock 9923 99231 D Restricted Stock Unit 2021-09-15 4 M 0 197 0.00 D Class A Common Stock 197 1975 D Restricted Stock Unit 2021-09-15 4 M 0 3575 0.00 D Class A Common Stock 3575 50055 D Restricted Stock Unit 2021-09-15 4 M 0 107 0.00 D Class A Common Stock 107 1494 D Restricted Stock Unit 2021-09-15 4 M 0 7330 0.00 D Class A Common Stock 7330 102620 D Restricted Stock Unit 2021-09-15 4 M 0 18289 0.00 D Class A Common Stock 18289 256047 D Restricted Stock Unit 2021-09-15 4 M 0 1789 0.00 D Class A Common Stock 1789 25046 D The Reporting Person's Restricted Stock Units ("RSUs") represent a contingent right to receive one share of Class A Common Stock for each RSU. The shares were issued pursuant to vested RSUs released on September 15, 2021. The shares of Class A Common Stock were withheld by the issuer to cover tax withholding obligations in connection with the previously reported vesting and settlement of RSUs. The RSUs are subject to a service-based vesting requirement, which shall be satisfied over a four-year period, with 6.25% of the RSUs vesting on the specified dates of March 15, June 15, September 15 and December 15 (each, a "Company Quarterly Vesting Date") occurring on or after March 15, 2020, subject to the Reporting Person's continuous service with the issuer. The RSUs are subject to a service-based vesting requirement, which shall be satisfied over a four-year period, with 6.25% of the RSUs vesting on each Company Quarterly Vesting Date occurring on or after March 15, 2021, subject to the Reporting Person's continuous service with the issuer. The RSUs vest over a 4-year period in substantially equal quarterly installments beginning March 15, 2021, with 6.25% of vesting on each Company Quarterly Vesting Date, subject to the individual's continuous service. Mr. Dudum is a managing member of Atomic GP II, LLC, the general partner and manager of Atomic Labs II, L.P. Mr. Dudum may be deemed the beneficial owner of the shares held by Atomic Labs II, L.P., but disclaims beneficial ownership thereof, except to the extent of any pecuniary interest therein. /s/ Soleil Boughton - Attorney-in-Fact 2021-09-17