| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Ross Derek | Director | C/O AMERICAN WELL CORPORATION, 75 STATE STREET, 26TH FLOOR, BOSTON | /s/Anna Nesterova as attorney-in-fact for Derek Ross | 2025-06-13 | 0001824726 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | AMWL | Class A Common Stock | Award | $0 | +20.9K | +58.37% | $0.00 | 56.7K | Jun 11, 2025 | Direct | F1, F2 |
| Id | Content |
|---|---|
| F1 | Represents a grant of restricted stock units, which vest on the earlier of (i) the day immediately preceding the date of the first annual meeting of the stockholders following the grant date and (ii) the first anniversary of the grant date. |
| F2 | On July 10, 2024, the issuer effected a 1-for-20 reverse split of the issuer's common stock, resulting in proportionate adjustments to the number of shares of Class A common stock beneficially owned by the reporting person, including shares underlying outstanding restricted stock units ("RSUs"). Accordingly, the securities reported on this Form 4 have been adjusted to reflect the 1-for-20 reverse stock split. |