SEC FORM 3/A SEC Form 3
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*
Bienstock Lee

(Last) (First) (Middle)
C/O DOCGO INC
35 WEST 35TH STREET, FLOOR 6

(Street)
NEW YORK NY 10001

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/28/2022
3. Issuer Name and Ticker or Trading Symbol
DocGo Inc. [ DCGO ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Operating Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
04/26/2022
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 146,853(1) D
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
Option to Buy (2) 02/18/2032 Common Stock 320,122 7.15 D
Option to Buy (3) 02/18/2032 Common Stock 100,000 7.15 D
Explanation of Responses:
1. Represents 146,853 restricted stock units granted pursuant to the Issuer's 2021 Stock Incentive Plan (the "Plan"), vesting 25% on each of March 28, 2023, March 28, 2024, March 28, 2025 and March 28, 2026. Each restricted stock unit represents the right to receive, upon vesting, one share of Common Stock. These restricted stock units were omitted from the reporting person's original Form 3 and mistakenly reported on a Form 4, but were made prior to the reporting person's appointment as an insider of the Issuer.
2. These options were granted pursuant to the Plan and vest 25% on each of March 28, 2023, March 28, 2024, March 28, 2025 and March 28, 2026, in each case, subject to the terms of the Plan. Each option represents the right to acquire one share of Common Stock. These options were omitted from the reporting person's original Form 3 and mistakenly reported on a Form 4, but were made prior to the reporting person's appointment as an insider of the Issuer.
3. These options were granted pursuant to the Plan and vest on March 28, 2023, subject to the terms of the Plan. Each option represents the right to acquire one share of Common Stock. These options were omitted from the reporting person's original Form 3 and mistakenly reported on a Form 4, but were made prior to the reporting person's appointment as an insider of the Issuer.
/s/ Andre Oberholzer, Attorney-in-Fact for Lee Bienstock 04/21/2023
** 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 5 (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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