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* Cove Investors I, LLC (Last) (First) (Middle) 865 SOUTH FIGUEROA STREET, SUITE 700 (Street) LOS ANGELES CA 90017 (City) (State) (Zip)	2. Date of Event Requiring Statement (Month/Day/Year) 09/23/2021	3. Issuer Name and Ticker or Trading Symbol Cue Health Inc. [ HLTH ]
		4. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director X 10% Owner Officer (give title below) Other (specify below)	5. If Amendment, Date of Original Filed (Month/Day/Year)
			6. Individual or Joint/Group Filing (Check Applicable Line) Form filed by One Reporting Person X 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	5,655,540	D(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
Series A Preferred Stock	(2)	(2)	Common Stock	1,090,180	(2)	D(1)
Series B Preferred Stock	(3)	(3)	Common Stock	5,358,452	(3)	D(4)
Series C-1 Preferred Stock	(5)	(5)	Common Stock	273,082	(5)	D(4)

1. Name and Address of Reporting Person* Cove Investors I, LLC (Last) (First) (Middle) 865 SOUTH FIGUEROA STREET, SUITE 700 (Street) LOS ANGELES CA 90017 (City) (State) (Zip)

1. Name and Address of Reporting Person* Cove Investors II, LLC (Last) (First) (Middle) 865 SOUTH FIGUEROA STREET, SUITE 700 (Street) LOS ANGELES CA 90017 (City) (State) (Zip)

1. Name and Address of Reporting Person* Day Kelly P. (Last) (First) (Middle) 865 FIGUEROA STREET, SUITE 700 (Street) LOS ANGELES CA 90017 (City) (State) (Zip)

Explanation of Responses:

1. The shares are held directly by Cove Investors I, LLC ("Cove I"). Kelly Day is the member of Cove I with authority to direct the voting interests of Cove I with respect to shares held by Cove I, and as a result may be deemed to have beneficial ownership of such shares.

2. The Series A Preferred Stock automatically converts into the number of shares of Common Stock as shown in Column 3 of Table II without payment of further consideration at the holder's election or upon closing of the initial public offering of the Issuer's common stock. The shares have no expiration date.

3. The Series B Preferred Stock automatically converts into the number of shares of Common Stock as shown in Column 3 of Table II without payment of further consideration at the holder's election or upon closing of the initial public offering of the Issuer's common stock. The shares have no expiration date.

4. The shares are held directly by Cove Investors II, LLC ("Cove II"). Kelly Day is the member of Cove II with authority to direct the voting interests of Cove II with respect to shares held by Cove II, and as a result may be deemed to have beneficial ownership of such shares.

5. The Series C-1 Preferred Stock automatically converts into the number of shares of Common Stock as shown in Column 3 of Table II without payment of further consideration at the holder's election or upon closing of the initial public offering of the Issuer's common stock. The shares have no expiration date.

	Cove Investors I, LLC, By: /s/ Peter Carlton, President of Oakmont Corporation, the Administrator of the Security Holder	09/23/2021
	Cove Investors II, LLC, By: /s/ Peter Carlton, President of Oakmont Corporation, the Administrator of the Security Holder	09/23/2021
	/s/ Kelly Day	09/23/2021
	** Signature of Reporting Person	Date
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