0000899243-20-019890.txt : 20200721 0000899243-20-019890.hdr.sgml : 20200721 20200721194724 ACCESSION NUMBER: 0000899243-20-019890 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200717 FILED AS OF DATE: 20200721 DATE AS OF CHANGE: 20200721 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cruz Shane E. CENTRAL INDEX KEY: 0001815988 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39390 FILM NUMBER: 201039959 MAIL ADDRESS: STREET 1: GOHEALTH, INC. STREET 2: 214 WEST HURON STREET CITY: CHICAGO STATE: IL ZIP: 60654 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GoHealth, Inc. CENTRAL INDEX KEY: 0001808220 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 214 WEST HURON STREET CITY: CHICAGO STATE: IL ZIP: 60654 BUSINESS PHONE: (312) 386-8222 MAIL ADDRESS: STREET 1: 214 WEST HURON STREET CITY: CHICAGO STATE: IL ZIP: 60654 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-07-17 0 0001808220 GoHealth, Inc. GOCO 0001815988 Cruz Shane E. 214 WEST HURON ST. CHICAGO IL 60654 0 1 0 0 Chief Operating Officer Blizzard Management LLC Interests 2020-07-17 4 D 0 86220 19.95 D LLC Interests 86220 1976690 D Blizzard Management LLC Interests 2020-07-17 4 D 0 117258 19.95 D LLC Interests 117258 989643 I By: Shane E. Cruz 2020 Irrevocable Trust dated June 16, 2020 Blizzard Management Feeder Interests ("Feeder Interests") are convertible at the option of the holder for LLC Interests on a 1-for-1 basis, which will be subsequently redeemed for an equal number of shares of Class A Common Stock. As described in the prospectus filed by the Issuer with the Securities and Exchange Commission, upon the closing of the offering, the Issuer redeemed the Feeder Interests from the reporting person in exchange for an aggregate consideration of $19.95 per Feeder Interest. 1,560,356 Feeder Interests are currently vested. The remaining Feeder Interests will vest in five equal annual installments beginning on September 13, 2020 and have no expiration date. The Feeder Interests are fully vested and currently exercisable. /s/ Clinton P. Jones, Attorney-in-fact for Shane E. Cruz 2020-07-21