0000904454-21-000645.txt : 20210909 0000904454-21-000645.hdr.sgml : 20210909 20210909125410 ACCESSION NUMBER: 0000904454-21-000645 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210909 DATE AS OF CHANGE: 20210909 EFFECTIVENESS DATE: 20210909 FILER: COMPANY DATA: COMPANY CONFORMED NAME: American Well Corp CENTRAL INDEX KEY: 0001393584 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-412791 FILM NUMBER: 211244029 BUSINESS ADDRESS: STREET 1: 75 STATE STREET STREET 2: 26TH FLOOR CITY: Boston STATE: MA ZIP: 02109 BUSINESS PHONE: 617-205-3500 MAIL ADDRESS: STREET 1: 75 STATE STREET STREET 2: 26TH FLOOR CITY: Boston STATE: MA ZIP: 02109 D 1 primary_doc.xml X0708 D LIVE 0001393584 American Well Corp 75 STATE STREET 26TH FLOOR Boston MA MASSACHUSETTS 02109 617-204-3500 DELAWARE None None Corporation true IDO SCHOENBERG 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Executive Officer Director ROY SCHOENBERG 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Executive Officer Director PHYLLIS GOTLIB 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Executive Officer BRADFORD GAY 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Executive Officer KEITH ANDERSON 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Executive Officer KURT KNIGHT 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Executive Officer MARY MODAHL 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Executive Officer JASON MEDEIROS 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Executive Officer AMBER HOWE 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Executive Officer SERKAN KUTAN 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Executive Officer STEPHEN SCHLEGEL 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Director BRENDAN O'GRADY 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Executive Officer PETER SLAVIN 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Director DEREK ROSS 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Director DELOS COSGROVE 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Director DEVAL PATRICK 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Director DEBORAH JACKSON 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Director Other Health Care Decline to Disclose 06b false 2021-08-27 false true true 0 60097115 60097115 0 false 27 0 0 0 false American Well Corp BRADFORD F. GAY BRADFORD F. GAY SENIOR VICE PRESIDENT, GENERAL COUNSEL 2021-09-09