0001393584-20-000001.txt : 20200313 0001393584-20-000001.hdr.sgml : 20200313 20200313163651 ACCESSION NUMBER: 0001393584-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200313 DATE AS OF CHANGE: 20200313 EFFECTIVENESS DATE: 20200313 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: 021-362840 FILM NUMBER: 20713278 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 KEITH W. ANDERSON 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Executive Officer STEVE 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 Director PETER 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 TOBY COSGROVE 75 STATE STREET, 26TH FLOOR C/O AMERICAN WELL CORPORATION BOSTON MA MASSACHUSETTS 02109 Director Other Health Care Decline to Disclose 06b false 2019-12-16 false true false 0 Gonzalo RubioParis None None None 31 Blvd Heletique Geneva V8 SWITZERLAND 120 true UBS Securities LLC 7654 None None 1285 Avenue of the Americas New York NY NEW YORK 10019 All States false 59903925 59903925 0 false 29 1578834 0 0 false American Well Corp /s/ Bradford F. Gay BRADFORD F. GAY SR. VP & GENERAL COUNSEL 2020-03-13