0000899243-21-048829.txt : 20211217 0000899243-21-048829.hdr.sgml : 20211217 20211217175225 ACCESSION NUMBER: 0000899243-21-048829 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211215 FILED AS OF DATE: 20211217 DATE AS OF CHANGE: 20211217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Windley Rodney D CENTRAL INDEX KEY: 0001354351 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40362 FILM NUMBER: 211502940 MAIL ADDRESS: STREET 1: 3 HUNTINGTON QUADRANGLE 2S CITY: MELVILLE STATE: NY ZIP: 11747 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Aveanna Healthcare Holdings, Inc. CENTRAL INDEX KEY: 0001832332 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 844717209 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 INTERSTATE NORTH PARKWAY STREET 2: STE 1700 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 770-441-1580 MAIL ADDRESS: STREET 1: 400 INTERSTATE NORTH PARKWAY STREET 2: STE 1700 CITY: ATLANTA STATE: GA ZIP: 30339 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-12-15 0 0001832332 Aveanna Healthcare Holdings, Inc. AVAH 0001354351 Windley Rodney D C/O AVEANNA HEALTHCARE HOLDINGS INC 400 INTERSTATE NORTH PARKWAY SE ATLANTA GA 30339 1 1 0 0 Director, Executive Chairman Common Stock, par value $0.01 per share 2021-12-15 4 P 0 15000 6.51 A 1644134 D /s/ Shannon Drake, Attorney-in-Fact 2021-12-16