Name | Relationship | Address | Signature | Signature date | CIK |
---|---|---|---|---|---|
FETTER TREVOR | Director | C/O OMADA HEALTH, INC., 500 SANSOME STREET, SUITE 200, SAN FRANCISCO | /s/ Nathan Salha, as Attorney-in-Fact for Trevor Fetter | 2025-06-05 | 0001205447 |
Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
holding | OMDA | Stock Option (Right to Buy) | Jun 5, 2025 | Common Stock | 75K | $8.28 | Direct | F1, F2 | ||||||
holding | OMDA | Stock Option (Right to Buy) | Jun 5, 2025 | Common Stock | 26.7K | $6.06 | Direct | F1, F2 | ||||||
holding | OMDA | Stock Option (Right to Buy) | Jun 5, 2025 | Common Stock | 11.7K | $5.94 | Direct | F1, F2 | ||||||
holding | OMDA | Stock Option (Right to Buy) | Jun 5, 2025 | Common Stock | 16.7K | $10.44 | Direct | F2, F3 | ||||||
holding | OMDA | Series D-1 Preferred Stock | Jun 5, 2025 | Common Stock | 55.6K | See footnote | F4, F5 | |||||||
holding | OMDA | Series E Preferred Stock | Jun 5, 2025 | Common Stock | 55.6K | See footnote | F4, F5 |
Id | Content |
---|---|
F1 | The option is fully vested and exercisable. |
F2 | Reflects a 1-for-3 reverse stock split of the Issuer's outstanding common stock effected on May 27, 2025. |
F3 | 1/24th of the shares subject to the option vest on each monthly anniversary measured from June 1, 2024 (the "Vesting Commencement Date"), such that 100% of the shares subject to the option will be fully vested and exercisable on the second anniversary of the Vesting Commencement Date. |
F4 | Each share of Series D-1 Preferred Stock and Series E Preferred Stock is convertible into approximately 0.33333 shares of the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering after giving effect to the 1-for-3 reverse split of the Issuer's common stock effected on May 27, 2025. These shares are reported in Table II above on an as-converted basis and have no expiration date. |
F5 | Shares held by a limited liability company of which the Reporting Person is the sole member. |
Exhibit 24.1 - Power of Attorney