0000899243-21-027530.txt : 20210706 0000899243-21-027530.hdr.sgml : 20210706 20210706163821 ACCESSION NUMBER: 0000899243-21-027530 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210630 FILED AS OF DATE: 20210706 DATE AS OF CHANGE: 20210706 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ZORETIC RICHARD C CENTRAL INDEX KEY: 0001263714 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40362 FILM NUMBER: 211074608 MAIL ADDRESS: STREET 1: C/O AMERIGROUP CORP STREET 2: 4425 CORPORATION LANE CITY: VIRGINIA BEACH STATE: VA ZIP: 23462 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 2021-06-30 0 0001832332 Aveanna Healthcare Holdings, Inc. AVAH 0001263714 ZORETIC RICHARD C C/O AVEANNA HEALTHCARE HOLDINGS INC 400 INTERSTATE NORTH PARKWAY SE ATLANTA GA 30339 1 0 0 0 Restricted Stock Units 2021-06-30 4 A 0 10509 0.00 A Common Stock, par value $0.01 per share 10509 10509 D Each restricted stock unit ("RSU") provides for the right to receive one share of common stock, $0.01 par value per share ("common stock"), of Aveanna Healthcare Holdings Inc. The RSUs vest on June 30, 2022. Common stock in respect of vested RSUs will be delivered to the reporting person as soon as practicable following the vesting date, and, in any event, within 60 days following such date. /s/ Shannon Drake, Attorney-In fact 2021-07-06