Name | Relationship | Address | Signature | Signature date | CIK |
---|---|---|---|---|---|
ROOT JONATHAN D | Director | C/O OMADA HEALTH, INC., 500 SANSOME STREET, SUITE 200, SAN FRANCISCO | /s/ Nathan Salha, as Attorney-in-Fact for Jonathan D. Root | 2025-06-09 | 0001225480 |
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 | +4.54M | +14039.64% | 4.57M | Jun 9, 2025 | See footnotes | F2, F3, F5 | ||
transaction | OMDA | Common Stock | Conversion of derivative security | +145K | +14044.78% | 146K | Jun 9, 2025 | See footnotes | F2, F4, F5 |
Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
transaction | OMDA | Series A Preferred Stock | Conversion of derivative security | -1.81M | -100% | 0 | Jun 9, 2025 | Common Stock | 1.81M | See footnotes | F2, F3, F5 | |||
transaction | OMDA | Series B Preferred Stock | Conversion of derivative security | -1.78M | -100% | 0 | Jun 9, 2025 | Common Stock | 1.78M | See footnotes | F2, F3, F5 | |||
transaction | OMDA | Series C Preferred Stock | Conversion of derivative security | -357K | -100% | 0 | Jun 9, 2025 | Common Stock | 357K | See footnotes | F2, F3, F5 | |||
transaction | OMDA | Series C-1 Preferred Stock | Conversion of derivative security | -259K | -100% | 0 | Jun 9, 2025 | Common Stock | 259K | See footnotes | F2, F3, F5 | |||
transaction | OMDA | Series D Preferred Stock | Conversion of derivative security | -334K | -100% | 0 | Jun 9, 2025 | Common Stock | 334K | See footnotes | F2, F3, F5 | |||
transaction | OMDA | Series A Preferred Stock | Conversion of derivative security | -58K | -100% | 0 | Jun 9, 2025 | Common Stock | 58K | See footnotes | F2, F4, F5 | |||
transaction | OMDA | Series B Preferred Stock | Conversion of derivative security | -56.8K | -100% | 0 | Jun 9, 2025 | Common Stock | 56.8K | See footnotes | F2, F4, F5 | |||
transaction | OMDA | Series C Preferred Stock | Conversion of derivative security | -11.4K | -100% | 0 | Jun 9, 2025 | Common Stock | 11.4K | See footnotes | F2, F4, F5 | |||
transaction | OMDA | Series C-1 Preferred Stock | Conversion of derivative security | -8.28K | -100% | 0 | Jun 9, 2025 | Common Stock | 8.28K | See footnotes | F2, F4, F5 | |||
transaction | OMDA | Series D Preferred Stock | Conversion of derivative security | -10.7K | -100% | 0 | Jun 9, 2025 | Common Stock | 10.7K | See footnotes | F2, F4, F5 |
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 A Preferred Stock, Series B Preferred Stock, Series C Preferred Stock, Series C-1 Preferred Stock and Series D 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 U.S. Venture Partners X, L.P. |
F4 | Shares held by USVP X Affiliates, L.P. |
F5 | Presidio Management Group X, L.L.C. ("PMG X"), the general partner of U.S. Venture Partners X, L.P. and USVP X Affiliates, L.P. (together, the "USVP X Funds"), has sole voting and dispositive power with respect to the shares held by the USVP X Funds. The Reporting Person is a managing member of PMG X, and may be deemed to share voting and dispositive power over the shares held by the USVP X Funds. The Reporting Person disclaims beneficial ownership of such shares, except to the extent of any pecuniary interest therein. |