0001393584-18-000001.txt : 20180629 0001393584-18-000001.hdr.sgml : 20180629 20180629161435 ACCESSION NUMBER: 0001393584-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180629 DATE AS OF CHANGE: 20180629 EFFECTIVENESS DATE: 20180629 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-315827 FILM NUMBER: 18929447 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 1 primary_doc.xml X0708 D LIVE 0001393584 American Well Corp 75 STATE STREET 26TH FLOOR Boston MA MASSACHUSETTS 02109 617 204 3544 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 Bradford F. Gay 75 State Street, 26th Floor c/o American Well Corporation Boston MA MASSACHUSETTS 02109 Executive Officer Deval Patrick 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 Director John Jesser 75 State Street, 26th Floor c/o American Well Corporation Boston MA MASSACHUSETTS 02109 Director Peter L. Slavin 75 State Street, 26th Floor c/o American Well Corporation Boston MA MASSACHUSETTS 02109 Director Stanley Morten 75 State Street, 26th Floor c/o American Well Corporation Boston MA MASSACHUSETTS 02109 Director Nazim Cetin 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 Other Health Care Decline to Disclose 06b false 2015-08-18 true true true true true Series C Convertible Preferred Stock and Common Stock Underlying thereto false 0 Gonzalo Rubio Paris None None None 31 Blvd Helvetique Geneva V8 SWITZERLAND 120 true 767470 767470 0 false 5 31922 0 0 false American Well Corp Bradford F. Gay Bradford F. Gay Sr.VP & General Counsel 2018-06-29