0001209191-21-027019.txt : 20210416 0001209191-21-027019.hdr.sgml : 20210416 20210416172824 ACCESSION NUMBER: 0001209191-21-027019 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210414 FILED AS OF DATE: 20210416 DATE AS OF CHANGE: 20210416 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mansukani Sharad CENTRAL INDEX KEY: 0001402190 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40332 FILM NUMBER: 21832483 BUSINESS ADDRESS: BUSINESS PHONE: 562-256-3800 MAIL ADDRESS: STREET 1: C/O AGILON HEALTH, INC. STREET 2: 1 WORLD TRADE CENTER, SUITE 2000 CITY: LONG BEACH STATE: CA ZIP: 90831 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: agilon health, inc. CENTRAL INDEX KEY: 0001831097 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 371915147 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1 WORLD TRADE CENTER STREET 2: SUITE 2000 CITY: LONG BEACH STATE: CA ZIP: 90831 BUSINESS PHONE: 562-256-3800 MAIL ADDRESS: STREET 1: 1 WORLD TRADE CENTER STREET 2: SUITE 2000 CITY: LONG BEACH STATE: CA ZIP: 90831 FORMER COMPANY: FORMER CONFORMED NAME: Agilon Health Topco, Inc. DATE OF NAME CHANGE: 20201103 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-04-14 0 0001831097 agilon health, inc. AGL 0001402190 Mansukani Sharad C/O AGILON HEALTH, INC. 1 WORLD TRADE CENTER, SUITE 2000 LONG BEACH CA 90831 1 0 0 0 Common Stock 2021-04-14 4 A 0 6956 0.00 A 1229356 D Restricted stock units that vests in full on April 14, 2022, subject to continued service as a director. /s/ Lyn Amor Macaraeg, as Attorney-in-Fact 2021-04-16