Sec Form 4 Filing - Green Philip D @ Livongo Health, Inc. - 2020-06-25

Insider filing report for Changes in Beneficial Ownership
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FORM 4
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
Green Philip D
2. Issuer Name and Ticker or Trading Symbol
Livongo Health, Inc. [ LVGO]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O LIVONGO HEALTH, INC., 150 WEST EVELYN AVENUE, SUITE 150
3. Date of Earliest Transaction (MM/DD/YY)
06/25/2020
(Street)
MOUNTAIN VIEW, CA94041
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 06/25/2020 J( 1 ) 768 A $ 0 5,486 D
Common Stock 06/25/2020 J( 2 ) 11,820 A $ 0 45,685 I See footnote ( 3 )
Common Stock 06/25/2020 J( 2 ) 11,820 A $ 0 45,685 I See footnote ( 4 )
Common Stock 06/25/2020 J( 2 ) 11,820 A $ 0 45,685 I See footnote ( 5 )
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 Tr ansaction(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
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Green Philip D
C/O LIVONGO HEALTH, INC.
150 WEST EVELYN AVENUE, SUITE 150
MOUNTAIN VIEW, CA94041
X
Signatures
/s/ Jonathan Dorfman, by power of attorney 06/29/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Represents the receipt of shares pursuant to pro rata in-kind distributions by 7wire Ventures Fund, L.P. and 7wire Ventures, LLC - Series Livongo E without consideration to its partners.
( 2 )Represents the receipt of shares pursuant to pro rata in-kind distributions by 7wire Ventures, LLC - Series EosHealth, 7wire Ventures, LLC - Series Livongo D and 7wire Ventures, LLC - Series Livongo E without consideration to its partners.
( 3 )The shares are held of record by The Philip D. Green 2012 Children's Trust FOB Joshua D. Green for which the reporting person's spouse serves as trustee.
( 4 )The shares are held of record by The Philip D. Green 2012 Children's Trust FOB Justin J. Green for which the reporting person's spouse serves as trustee.
( 5 )The shares are held of record by The Philip D. Green 2012 Children's Trust FOB Alexandra E. Green for which the reporting person's spouse serves as trustee.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

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