0001393584-18-000002.txt : 20180629 0001393584-18-000002.hdr.sgml : 20180629 20180629165317 ACCESSION NUMBER: 0001393584-18-000002 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: 021-315847 FILM NUMBER: 18929895 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 2016-06-28 true true true true true Series C Convertible Preferred Stock and the Common Stock underlying thereto false 0 Gonzalo RubioParis None None None 31 Blvd Helvetique Geneva V8 SWITZERLAND 120 true UBS Securities LLC 7654 None None 1285 Avenue of the Americas New YOrk NY NEW YORK 10019 AL ALABAMA AZ ARIZONA CA CALIFORNIA CO COLORADO FL FLORIDA IL ILLINOIS IN INDIANA KY KENTUCKY LA LOUISIANA MD MARYLAND MA MASSACHUSETTS MI MICHIGAN MN MINNESOTA MO MISSOURI NH NEW HAMPSHIRE NJ NEW JERSEY NY NEW YORK NC NORTH CAROLINA OH OHIO OK OKLAHOMA PA PENNSYLVANIA TN TENNESSEE TX TEXAS WA WASHINGTON WI WISCONSIN false 314765490 290614805 24150685 false 52 4817917 0 0 false American Well Corp Bradford F. Gay Bradford F. Gay Sr. VP &General Counsel 2018-06-29