0001104659-23-058612.txt : 20230510 0001104659-23-058612.hdr.sgml : 20230510 20230510191339 ACCESSION NUMBER: 0001104659-23-058612 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230508 FILED AS OF DATE: 20230510 DATE AS OF CHANGE: 20230510 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRIGGS STEPHEN P CENTRAL INDEX KEY: 0001275762 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38399 FILM NUMBER: 23908278 MAIL ADDRESS: STREET 1: 1360 PLACE VENDOME CITY: WINTER PARK STATE: FL ZIP: 32789 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AdaptHealth Corp. CENTRAL INDEX KEY: 0001725255 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 823677704 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 220 WEST GERMANTOWN PIKE STREET 2: SUITE 250 CITY: PLYMOUTH MEETING STATE: PA ZIP: 19462 BUSINESS PHONE: 610-630-6357 MAIL ADDRESS: STREET 1: 220 WEST GERMANTOWN PIKE STREET 2: SUITE 250 CITY: PLYMOUTH MEETING STATE: PA ZIP: 19462 FORMER COMPANY: FORMER CONFORMED NAME: DFB Healthcare Acquisitions Corp. DATE OF NAME CHANGE: 20171213 4 1 tm2315231-1_4seq1.xml OWNERSHIP DOCUMENT X0407 4 2023-05-08 0 0001725255 AdaptHealth Corp. AHCO 0001275762 GRIGGS STEPHEN P C/O ADAPTHEALTH LLC 220 WEST GERMANTOWN PIKE, SUITE 250 PLYMOUTH MEETING PA 19462 1 1 0 0 Chief Executive Officer 0 Common Stock, par value $0.0001 per share ("Common Stock") 2023-05-08 4 M 0 559071 4.38 A 743534 D Common Stock 2023-05-08 4 F 0 345219 11.86 D 398315 D Common Stock 3576927 I See Footnote Employee Stock Option (right to buy) 4.38 2023-05-08 4 M 0 559071 0 D 2026-08-01 Common Stock 559071 0 D Represents a "net exercise" of outstanding stock options. The reporting person received 213,852 shares of Common Stock on net exercise of options to purchase 559,071 shares of Common Stock. The Company withheld 345,219 shares of Common Stock underlying the options for payment of the exercise price and tax withholdings. Securities held directly by the Stephen P. Griggs Revocable Trust. On December 1, 2020, the Issuer entered into an Agreement and Plan of Merger (the "Merger Agreement") with AH Apollo Merger Sub Inc., AH Apollo Merger Sub II Inc., Peloton Equity, LLC and AeroCare Holdings, Inc. ("AeroCare"). The effective time of the merger (the "AeroCare Merger") occurred on February 1, 2021, at which time the outstanding shares of the Common Stock and options to acquire Common Stock of AeroCare were converted into the right to receive, among other things, shares of the Issuer's Common Stock and Series C Preferred Stock and options to acquire Common Stock, respectively, pursuant to the Merger Agreement. Options were fully vested as of the effective time if the AeroCare Merger. *** The Power of Attorney given by the reporting person was previously filed with the U.S. Securities and Exchange Commission on February 2, 2021 as an exhibit to the Form 3 filed by the reporting person with respect to the Issuer and is hereby incorporated by reference. /s/ Christopher Joyce, as attorney-in-fact for Stephen Griggs*** 2023-05-10