Sec Form 3 Filing - Madden James C. @ Accolade, Inc. - 2020-07-01

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Madden James C.
2. Issuer Name and Ticker or Trading Symbol
Accolade, Inc. [ ACCD]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
610 NEWPORT CENTER DRIVE, SUITE 1220
3. Date of Earliest Transaction (MM/DD/YY)
07/01/2020
(Street)
NEWPORT BEACH, CA92660
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 100,000 I By James C. Madden V. Living Trust ( 4 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series B Preferred Stock ( 2 ) ( 1 ) ( 1 ) Common Stock ( 2 ) I By James C. Madden V. Living Trust ( 4 )
Series C Preferred Stock ( 3 ) ( 3 ) ( 3 ) Common Stock ( 3 ) I By James C. Madden V. Living Trust ( 4 )
Series D Preferred Stock ( 5 ) ( 5 ) ( 5 ) Common Stock ( 5 ) I See Footnote ( 6 ) ( 7 )
Series E Preferred Stock ( 8 ) ( 8 ) ( 8 ) Common Stock ( 8 ) I See Footnote ( 9 ) ( 10 )
Warrants ( 11 ) ( 11 ) ( 11 ) Common Stock ( 11 ) I See Footnote ( 11 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Madden James C.
610 NEWPORT CENTER DRIVE, SUITE 1220
NEWPORT BEACH, CA92660
X X
Signatures
/s/ Alan Habelton, as Attorney-in-Fact for James C. Madden, V 07/01/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The James C. Madden V. Living Trust (the "Trust") currently holds 12,946 shares of the Issuer's Series B Preferred Stock (the "Series B Preferred"). The Series B Preferred is convertible at any time into shares of the Issuer's Common Stock ("Common Stock") at the then-effective conversion rate for no additional consideration in accordance with the Issuer's Seventh Amended and Restated Certificate of Incorporation, as amended to date (the "Charter"), and has no expiration date.
( 2 )Each share of Series B Preferred held by the Trust will automatically convert, on a certificate by certificate basis, upon the closing of the Issuer's initial public offering (the "IPO") into the number of shares of Common Stock equal to (i) 12,946 plus (ii) a number equal to 12,946 multiplied by a fraction of $4.1748 divided by the Issuer's initial public offering price per share of Common Stock offered to the public in the IPO (the "IPO Price"). No fractional shares shall be issued as a result of this conversion.
( 3 )The Trust currently holds 4,784 shares of the Issuer's Series C Preferred Stock (the "Series C Preferred"). The Series C Preferred is convertible at any time into shares of Common Stock at the then-effective conversion rate for no additional consideration in accordance with the Charter and has no expiration date. Each share of Series C Preferred held by the Trust will automatically convert, on a certificate by certificate basis, upon the closing of the IPO into the number of shares of Common Stock equal to (i) 4,784 plus (ii) 4,784 multiplied by a fraction of $11.6442 divided by the IPO Price. No fractional shares shall be issued as a result of this conversion.
( 4 )These shares are held of record by the Trust. The reporting person, a member of the Issuer's board of directors, is the trustee of the Trust.
( 5 )The Issuer's Series D Preferred Stock (the "Series D Preferred") is convertible at any time into shares of Common Stock at the then-effective conversion rate for no additional consideration in accordance with the Charter and has no expiration date. Each share of Series D Preferred held by the Carrick Series D Group (as defined below) will automatically convert, on a certificate by certificate basis, upon the closing of the IPO into the number of shares of Common Stock equal to (i) 1,424,360 plus (ii) 1,424,360 multiplied by a fraction of $17.1245 divided by the IPO Price. No fractional shares shall be issued as a result of this conversion.
( 6 )Certain shares of Series D Preferred are held of record as follows: (i) 191,833 shares held of record by Carrick Capital Associates Fund, L.P. ("CCAF"), (ii) 65,543 shares held of record by Carrick Capital Founders Fund, L.P. ("CCFF") and (iii) 1,166,984 shares held of record by Carrick Capital Partners, L.P. ("CCP"). Carrick Management Partners, LLC ("CMP" and, together with CCAF, CCFF and CCP, the "Carrick Series D Group") is the general partner of each of CCAF, CCFF and CCP. CMP may be deemed to have voting, investment and dispositive power with respect to the shares of Series D Preferred held by the Carrick Series D Group.
( 7 )The reporting person is a member of the Issuer's board of directors and a managing member of CMP, and may be deemed to share voting, investment and dispositive power with respect to the shares of Series D Preferred held by the Carrick Series D Group. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
( 8 )The Issuer's Series E Preferred Stock (the "Series E Preferred") is convertible at any time into shares of Common Stock at the then-effective conversion rate for no additional consideration in accordance with the Charter and has no expiration date. Each share of Series E Preferred held by the Carrick Series E Group (as defined below) will automatically convert, on a certificate by certificate basis, upon the closing of the IPO into the number of shares of Common Stock equal to (i) 419,076 plus (ii) 419,076 multiplied by a fraction of $23.8619 divided by the IPO Price. No fractional shares shall be issued as a result of this conversion.
( 9 )Certain shares of Series E Preferred are held of record as follows: (i) 209,538 shares held of record by Carrick Capital Partners II Co-Investment Fund, L.P. ("CIF") and (ii) 209,538 shares held of record by Carrick Capital Partners II Co-Investment Fund II, L.P. ("CIFII"). Carrick Management Partners II, LLC ("CMPII" and, together with CIF and CIFII, the "Carrick Series E Group") is the general partner of each of CIF and CIFII. CMPII may be deemed to have voting, investment and dispositive power with respect to the shares of Series E Preferred held by the Carrick Series E Group.
( 10 )The reporting person is a member of the Issuer's board of directors and a managing member of CMPII and may be deemed to share voting, investment and dispositive power with respect to the shares of Series E Preferred held by the Carrick Series E Group. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
( 11 )CIF and CIFII each hold fully-vested warrants, which expire on March 16, 2028, for the purchase of up to 50,800 shares of Common Stock and, upon the closing of the IPO, will be automatically net exercised and surrendered such that the holders of the warrants will receive the number of shares of Common Stock based on the IPO Price after deduction of the exercise price, which is $0.0005 per share. No fractional shares shall be issued as a result of this warrant exercise. The reporting person may be deemed to share voting, investment and dispositive power with respect to these securities. The reporting person disclaims beneficial ownership of these securities except to the extent of their pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.

Remarks:
Exhibit List: Exhibit 24.1 - Power of Attorney

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