0001268489-23-000010.txt : 20230803
0001268489-23-000010.hdr.sgml : 20230803
20230803163153
ACCESSION NUMBER: 0001268489-23-000010
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230801
FILED AS OF DATE: 20230803
DATE AS OF CHANGE: 20230803
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WICHMANN DAVID S
CENTRAL INDEX KEY: 0001268489
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40365
FILM NUMBER: 231140629
MAIL ADDRESS:
STREET 1: BOSTON SCIENTIFIC CORPORATION
STREET 2: 300 BOSTON SCIENTIFIC WAY
CITY: MARLBOROUGH
STATE: MA
ZIP: 01752
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_1691094703.xml
FORM 4
X0508
4
2023-08-01
0
0001759655
Privia Health Group, Inc.
PRVA
0001268489
WICHMANN DAVID S
PRIVIA HEALTH GROUP, INC.
950 N. GLEBE ROAD, SUITE 700
ARLINGTON
VA
22203
1
0
0
0
0
Common Stock, par value $0.01 per share
1315340
I
See Footnote
Common Stock, par value $0.01 per share
2023-08-01
4
A
0
6189
0
A
6189
D
Represents shares held by Jory Capital, LLC, which is co-owned by the Reporting Person.
Represents restricted stock units granted under the Issuer's 2021 Omnibus Incentive Plan that will become fully vested on the day immediately preceding the date of Company's 2024 Annual Meeting of Stockholders.
/s/ Thomas Bartrum, as attorney-in fact
2023-08-03