0001759655-23-000153.txt : 20230705 0001759655-23-000153.hdr.sgml : 20230705 20230705163038 ACCESSION NUMBER: 0001759655-23-000153 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230701 FILED AS OF DATE: 20230705 DATE AS OF CHANGE: 20230705 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COCOZZA NANCY G CENTRAL INDEX KEY: 0001232953 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40365 FILM NUMBER: 231069609 MAIL ADDRESS: STREET 1: 2751 CENTERVILLE RD STREET 2: STE 400 CITY: WILMINGTON STATE: DE ZIP: 19808 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Privia Health Group, Inc. CENTRAL INDEX KEY: 0001759655 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 950 N. GLEBE RD., SUITE 700 CITY: ARLINGTON STATE: VA ZIP: 22203 BUSINESS PHONE: 571-366-8850 MAIL ADDRESS: STREET 1: 950 N. GLEBE RD., SUITE 700 CITY: ARLINGTON STATE: VA ZIP: 22203 FORMER COMPANY: FORMER CONFORMED NAME: PH Group Parent Corp. DATE OF NAME CHANGE: 20181120 4 1 wk-form4_1688589018.xml FORM 4 X0407 4 2023-07-01 0 0001759655 Privia Health Group, Inc. PRVA 0001232953 COCOZZA NANCY G PRIVIA HEALTH GROUP, INC. 950 N. GLEBE RD., SUITE 700 ARLINGTON VA 22203 1 0 0 0 0 Common Stock, $0.01 par value per share 2023-07-01 4 A 0 7758 0 A 14831 D Represents restricted stock units granted under the Issuer's 2021 Omnibus Incentive Plan that will become fully vested on the first anniversary of the grant date. /s/ Thomas Bartrum, as attorney-in fact 2023-07-05