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 | 2025-06-09 | 0001205447 |
Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
---|---|---|---|---|---|---|---|---|---|---|---|
transaction | OMDA | Common Stock | Award | $0 | +9.74K | $0.00 | 9.74K | Jun 5, 2025 | Direct | F1 | |
transaction | OMDA | Common Stock | Conversion of derivative security | +111K | 111K | Jun 9, 2025 | See footnote | F2, F3 |
Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
transaction | OMDA | Series D-1 Preferred Stock | Conversion of derivative security | -55.6K | -100% | 0 | Jun 9, 2025 | Common Stock | 55.6K | See footnote | F2, F3 | |||
transaction | OMDA | Series E Preferred Stock | Conversion of derivative security | -55.6K | -100% | 0 | Jun 9, 2025 | Common Stock | 55.6K | See footnote | F2, F3 |
Id | Content |
---|---|
F1 | Constitute restricted stock units ("RSUs") for which the Reporting Person is entitled to receive one (1) share of Common Stock for each RSU upon vesting. 100% of the RSUs will fully vest on the first anniversary of June 5, 2025. |
F2 | Each share of Series D-1 Preferred Stock and Series E Preferred Stock automatically converted into approximately 0.33333 shares of the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering. These shares are reported in Table II above on an as-converted basis and have no expiration date. |
F3 | Shares held by a limited liability company of which the Reporting Person is the sole member. |