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Form 3 Sharecare, Inc. For: Jul 01 Filed by: Whaley Dawn

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July 12, 2021 8:24 PM EDT
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person *
Whaley Dawn
(Last) (First) (Middle)
C/O SHARECARE, INC.,
255 EAST PACES FERRY ROAD NE SUITE 700
(Street)
ATLANTA GA 30305
(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/01/2021 		3. Issuer Name and Ticker or Trading Symbol
Sharecare, Inc. [ SHCR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
President, CMO
 5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 53,273
D
 
Common Stock 959,756
I
By Arnold Media Group, LLC (1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock option (right to buy) 07/01/2021 01/05/2022 Common Stock 1,951,129 0.94 I By Queen B Family Management Company, LLLP (2)
Stock option (right to buy) 07/01/2021 02/25/2020 Common Stock 1,639,802 1.05 I By Queen B Family Management Company, LLLP (2)
Stock option (right to buy) 07/01/2021 (3) 03/28/2028 Common Stock 3,826,228 1.05 I By Queen B Family Management Company, LLLP (2)
Stock option (right to buy) 07/01/2021 04/21/2030 Common Stock 1,685,977 1.45 I By Queen B Family Management Company, LLLP (2)
Stock option (right to buy) 07/01/2021 (4) 10/26/2030 Common Stock 4,855,985 1.45 I By Queen B Family Management Company, LLLP (2)
Explanation of Responses:
1. The reporting person is the beneficial owner and has sole voting and investment power over the securities reported herein held by this entity.
2. The reporting person is the beneficial owner and has sole voting and investment power over the securities reported herein held by this entity.
3. Includes 1,093,177 unvested options that become exercisable, if at all, if the price of Sharecare's common stock reaches $10.53 per share.
4. Includes 983,795 unvested options that become exercisable, if at all, if the price of Sharecare's common stock reaches $11.25 per share.
Remarks:
Exhibit 24.1 - Power of Attorney
/s/ Christie J. Miller, Attorney-in-Fact for Reporting Person 07/12/2021
** Signature of Reporting Person Date
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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

Exhibit 24.1

 

LIMITED POWER OF ATTORNEY

 

Know all by these presents, that the undersigned hereby constitutes and appoints each of Henry M. Jay, Christie J. Miller, Nikki Stinson, Darrell Thomas and any duly appointed Corporate Secretary of Sharecare, Inc. (the “Company”), signing singly, the undersigned’s true and lawful attorney-in-fact to:

 

(1)prepare, execute in the undersigned’s name and on the undersigned’s behalf, and submit to the U.S. Securities and Exchange Commission (the “SEC”) a Form ID, including amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings with the SEC of reports required by Section 16(a) of the Securities Exchange Act of 1934 or any rule or regulation of the SEC;

 

(2)execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer and/or director of the Company, Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;

 

(3)do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, complete and execute any amendment or amendments thereto, and timely file such form with the SEC and any stock exchange or similar authority; and

 

(4)take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorneys-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorneys-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact’s discretion.

 

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact’s substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

 

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

 

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of the date written below.

 

  Signature: /s/ Dawn Whaley
  Print Name:  Dawn Whaley
  Date: June 25, 2021

 


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