SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Burd Brad

(Last) (First) (Middle)
222 W MERCHANDISE MART PLAZA, SUITE 1750

(Street)
CHICAGO IL 60654

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/09/2024
3. Issuer Name and Ticker or Trading Symbol
GoHealth, Inc. [ GOCO ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Legal Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Common Stock 15,910(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Blizzard Management Feeder LLC Interests (2) (2) LLC Interests 48,726 (3) D
Stock Options (4) 02/11/2031 Class A Common Stock 940 $15.75 D
Explanation of Responses:
1. Includes an aggregate 13,431 restricted stock units (RSUs), which vest as to: (i) 375 RSUs in one remaining installment vesting on February 11, 2024; (ii) 5,556 RSUs in two remaining equal annual installments, with the first such installment vesting on May 5, 2024; (iii) 7,500 RSUs in two equal annual installments, with the first such installment vesting on March 21, 2024, each of which is subject to the reporting person's continuous employment through the applicable vesting dates.
2. 46,506 of the Blizzard Management Feeder LLC Interests ("Feeder Interests") are currently vested and exercisable. The remaining Feeder Interests will vest in one remaining installment on September 13, 2024 and have no expiration date.
3. 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.
4. There are 626 stock options currently vested and exercisable, with the remaining 314 stock options vesting on February 11, 2024.
Remarks:
Exhibit 24 - Power of Attorney.
/s/ Katherine O'Halloran, Attorney-in-fact 02/20/2024
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.