Form Type: 4

SEC EDGAR Link
Accession Number:0000899243-21-029559
Date:2021-05-20
Issuer: HIMS & HERS HEALTH, INC. (HIMS)
Original Submission Date:

Reporting Person:

COSGROVE DELOS M.
2269 CHESTNUT STREET, #523
SAN FRANCISCO,, CA 94123

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
CLASS A COMMON STOCK 2021-05-20 M 2,824 a $0.00 2,824 direct
CLASS A COMMON STOCK 2021-06-16 M 565 a $0.00 3,389 direct
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
RESTRICTED STOCK UNIT 0.0 2021-05-20 deemed execution date M 2,769 (d) class a common stock 2,769 $0.00 6,093 direct
RESTRICTED STOCK UNIT 0.0 2021-05-20 deemed execution date M 55 (d) class a common stock 55 $0.00 121 direct
RESTRICTED STOCK UNIT 0.0 2021-06-16 deemed execution date M 554 (d) class a common stock 554 $0.00 5,539 direct
RESTRICTED STOCK UNIT 0.0 2021-06-16 deemed execution date M 11 (d) class a common stock 11 $0.00 110 direct
Footnotes
IDfootnote
f1 the reporting person is hereby disclosing a delinquent form 4. the reporting person's restricted stock units ("rsus") represent a contingent right to receive one share of class a common stock for each rsu. the shares were issued pursuant to vested rsus released on may 20, 2021.
f2 the reporting person is hereby disclosing a delinquent form 4. the reporting person's rsus represent a contingent right to receive one share of class a common stock for each rsu. the shares were issued pursuant to vested rsus released on june 16, 2021.
f3 the rsus are subject to a service-based vesting requirement, which shall be satisfied over a four-year period, with 6.25% of the rsus vesting on the specified dates of march 15, june 15, september 15 and december 15 occurring on or after december 15, 2019, subject to the reporting person's continuous service with the issuer.
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