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*
Daniel Colin

(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)
EVP, Finance and HR
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 3 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
Stock option (right to buy) 07/01/2021 05/06/2026 Common Stock 356,293 $1.05 I By CB Daniel Enterprises, LLLP(1)
Stock option (right to buy) 07/01/2021(2) 12/03/2029 Common Stock 142,518 $1.45 I By CB Daniel Enterprises, LLLP(1)
Stock option (right to buy) 07/01/2021(3) 11/04/2030 Common Stock 926,362 $1.45 I By CB Daniel Enterprises, LLLP(1)
Stock option (right to buy) 07/01/2021 01/05/2022 Common Stock 160,332 $0.94 D
Stock option (right to buy) 07/01/2021 05/06/2026 Common Stock 195,961 $1.45 D
Warrants (right to buy) 09/24/2021 07/01/2026 Common Stock 11,500 $11.5 D
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. Includes 23,753 unvested options that become exercisable, if at all, if the price of Sharecare's common stock reaches $10.53 per share.
3. Includes 154,346 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 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).
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.