0001808220-23-000038.txt : 20230412 0001808220-23-000038.hdr.sgml : 20230412 20230412162724 ACCESSION NUMBER: 0001808220-23-000038 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230410 FILED AS OF DATE: 20230412 DATE AS OF CHANGE: 20230412 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOTTE VIJAY CENTRAL INDEX KEY: 0001841128 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39390 FILM NUMBER: 23815984 MAIL ADDRESS: STREET 1: C/O R1 RCM INC. STREET 2: 401 N. MICHIGAN AVENUE, SUITE 2700 CITY: CHICAGO STATE: IL ZIP: 60611 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 wf-form4_168133123166443.xml FORM 4 X0407 4 2023-04-10 0 0001808220 GoHealth, Inc. GOCO 0001841128 KOTTE VIJAY 214 WEST HURON ST. CHICAGO IL 60654 1 1 0 0 Chief Executive Officer 0 Class A Common Stock 2023-04-10 4 A 0 166667 0 A 638889 D Stock Option 14.1 2023-04-10 4 A 0 83333 0 A 2033-04-10 Class A Common Stock 83333.0 83333 D Represents a grant of restricted stock units which vests in three annual installments, with the first such annual installment vesting on April 10, 2024. Reflects the amount of shares beneficially held following a 1-for-15 reverse stock split effected by the Issuer on November 17, 2022, which was exempt from reporting pursuant to Rule 16a-19. The stock option vests in three equal annual installments beginning on April 10, 2024. /s/ Brian Farley, Attorney-in-fact 2023-04-12