0001140361-14-045327.txt : 20141216 0001140361-14-045327.hdr.sgml : 20141216 20141216080321 ACCESSION NUMBER: 0001140361-14-045327 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141216 DATE AS OF CHANGE: 20141216 EFFECTIVENESS DATE: 20141216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: American Well Corp CENTRAL INDEX KEY: 0001393584 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-149534 FILM NUMBER: 141288335 BUSINESS ADDRESS: STREET 1: 75 STATE STREET STREET 2: 26TH FLOOR CITY: Boston STATE: MA ZIP: 02109 BUSINESS PHONE: 6172053500 MAIL ADDRESS: STREET 1: 75 STATE STREET STREET 2: 26TH FLOOR CITY: Boston STATE: MA ZIP: 02109 D/A 1 primary_doc.xml X0707 D/A LIVE 0001393584 American Well Corp 75 STATE STREET 26TH FLOOR BOSTON MA MASSACHUSETTS 02109 617-204-3500 DELAWARE None None Corporation true Ido Schoenberg c/o American Well Corporation 75 State Street, 26th Floor Boston MA MASSACHUSETTS 02109 Executive Officer Director Dr. Schoenberg is a co-founder, the Chairman of the Board of Directors and a co- Chief Executive Officer of the Issuer. Roy Schoenberg c/o American Well Corporation 75 State Street, 26th Floor Boston MA MASSACHUSETTS 02109 Executive Officer Director Dr. Schoenberg is a co-founder, the President and a co-Chief Executive Officer of the Issuer. James Malone c/o American Well Corporation 75 State Street, 26th Floor Boston MA MASSACHUSETTS 02109 Executive Officer Mr. Malone is the Executive Vice President and Chief Financial Officer of the Issuer. Bradford F. Gay c/o American Well Corporation 75 State Street, 26th Floor Boston MA MASSACHUSETTS 02109 Executive Officer Mr. Gay is the Senior Vice President and General Counsel of the Issuer. Other Health Care Decline to Disclose 06b true 0001393584-12-000001 2010-10-08 true true true true true Series C Convertible Preferred Stock false 0 Gonzalo Rubio Paris None N/A None 31 BVd. Helvetique Geneva V8 SWITZERLAND 120 true Amos Aharoni None N/A None 20 Hillgate Street London X0 UNITED KINGDOM W8 S7R true Indefinite 81190125 Indefinite The total amount sold and the number of investors reflects sales to all investors, US and non-US. false 108 372195 true 0 The persons listed in Item 12 have received shares of Series C Preferred Stock as compensation for sales to only non-US Investors. The value of such shares is reflected in this Item 15. 0 false American Well Corp /s/ Ido Schoenberg Ido Schoenberg Co -Chief Executive Officer 2014-12-15