0001759655-22-000009.txt : 20220107
0001759655-22-000009.hdr.sgml : 20220107
20220107172035
ACCESSION NUMBER: 0001759655-22-000009
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220105
FILED AS OF DATE: 20220107
DATE AS OF CHANGE: 20220107
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sherman Jeffrey Scott
CENTRAL INDEX KEY: 0001463145
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40365
FILM NUMBER: 22518958
MAIL ADDRESS:
STREET 1: 103 POWELL COURT
STREET 2: SUITE 200
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
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
wf-form4_164159402168915.xml
FORM 4
X0306
4
2022-01-05
0
0001759655
Privia Health Group, Inc.
PRVA
0001463145
Sherman Jeffrey Scott
PRIVIA HEALTH GROUP, INC.
950 N. GLEBE RD., SUITE 700
ARLINGTON
VA
22203
0
1
0
0
EVP, CFO and CAO
Common Stock, $0.01 par value per share
2022-01-05
4
A
0
61307
0
A
61307
D
Stock Option (Right to Purchase)
25.69
2022-01-05
4
A
0
235128
0
A
2032-01-05
Common Stock
235128.0
235128
D
Represents restricted stock units granted under the Issuer's 2021 Omnibus Incentive Plan that will vest in substantially equal annual installments on the first, second, third and fourth anniversaries of the grant date.
Represents options granted under the Issuer's 2021 Omnibus Incentive Plan that will vest in substantially equal annual installments on the first, second, third and fourth anniversaries of the grant date.
/s/ Thomas Bartrum, attorney-in-fact
2022-01-07