0000899243-21-036621.txt : 20210920 0000899243-21-036621.hdr.sgml : 20210920 20210920174558 ACCESSION NUMBER: 0000899243-21-036621 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: Rapp Alyssa CENTRAL INDEX KEY: 0001852302 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40697 FILM NUMBER: 211264233 MAIL ADDRESS: STREET 1: C/O HEALTHWELL ACQUISITION CORP. I STREET 2: 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 0001852302 Rapp Alyssa 1001 GREEN BAY RD. #1001 WINNETKA IL 60093 1 1 1 0 Chief Executive Officer Class B common stock 2021-09-16 4 J 0 937500 D Class A common stock 937500 6250000 I See footnote 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. As Co-Manager of the Sponsor, the Reporting Person may be deemed to have indirect beneficial ownership of the Issuer's Class B common stock held by the Sponsor. The Reporting Person disclaims beneficial ownership except to the extent of her pecuniary interest therein. /s/ Emily Semon as attorney-in-fact 2021-09-20