0000899243-21-036624.txt : 20210920 0000899243-21-036624.hdr.sgml : 20210920 20210920174802 ACCESSION NUMBER: 0000899243-21-036624 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210916 FILED AS OF DATE: 20210920 DATE AS OF CHANGE: 20210920 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Healthwell Acquisition Corp. I Sponsor LLC CENTRAL INDEX KEY: 0001845008 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40697 FILM NUMBER: 211264235 BUSINESS ADDRESS: STREET 1: 1001 GREEN BAY RD. #227 CITY: WINNETKA STATE: IL ZIP: 60093 BUSINESS PHONE: 8476123359 MAIL ADDRESS: STREET 1: 1001 GREEN BAY RD. #227 CITY: WINNETKA STATE: IL ZIP: 60093 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Healthwell Acquisition Corp. I CENTRAL INDEX KEY: 0001845013 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 861911840 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1001 GREEN BAY RD. #227 CITY: WINNETKA STATE: IL ZIP: 60093 BUSINESS PHONE: 847-612-3359 MAIL ADDRESS: STREET 1: 1001 GREEN BAY RD. #227 CITY: WINNETKA STATE: IL ZIP: 60093 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-09-16 0 0001845013 Healthwell Acquisition Corp. I HWEL 0001845008 Healthwell Acquisition Corp. I Sponsor LLC 1001 GREEN BAY RD. #1001 WINNETKA IL 60093 0 0 1 0 Class B common stock 2021-09-16 4 J 0 937500 D Class A common stock 937500 6250000 D The shares of Class B common stock will automatically convert into shares of Class A common stock on the first business day following the consummation of the Issuer's initial business combination, on a one-for-one basis, subject to adjustment as set forth in the Issuer's registration statement on Form S-1 (File No. 333-253418) (the "Registration Statement") and have no expiration date. 937,500 shares were forfeited to the Issuer at no cost in connection with the expiration of the underwriters' over-allotment option, as described in the Registration Statement. The securities are held directly by the Sponsor and indirectly by Alyssa Rapp, who serves as the Chief Executive Officer and a director of the Issuer, and John L. MacCarthy, who serves as a director of the Issuer, and who indirectly control the Sponsor. Certain of the Issuer's other directors and officers hold economic interests in the Sponsor and pecuniary interests in certain of the securities held by the Sponsor. Each of Ms. Rapp and Mr. MacCarthy and such other directors and officers disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. /s/ Emily Semon as attorney-in-fact 2021-09-20