0000899243-23-005329.txt : 20230216 0000899243-23-005329.hdr.sgml : 20230216 20230216205543 ACCESSION NUMBER: 0000899243-23-005329 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230214 FILED AS OF DATE: 20230216 DATE AS OF CHANGE: 20230216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shaner Jeff CENTRAL INDEX KEY: 0001520693 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40362 FILM NUMBER: 23640079 MAIL ADDRESS: STREET 1: 3350 RIVERWOOD PARKWAY SUITE 1400 CITY: ATLANTA STATE: GA ZIP: 30339 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: 0101 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 2023-02-14 0 0001832332 Aveanna Healthcare Holdings, Inc. AVAH 0001520693 Shaner Jeff C/O AVEANNA HEALTHCARE HOLDINGS INC. 400 INTERSTATE NORTH PARKWAY SE ATLANTA GA 30339 0 1 0 0 Chief Executive Officer Common Stock, par value $0.01 per share 2023-02-14 4 A 0 421094 0.00 A 1648719 D Grant of stock-settled restricted stock unit, subject to three-year cliff vesting. Includes (i) 739 shares acquired under Aveanna's Employee Stock Purchase Plan (the "ESPP") on January 4, 2022, (ii) 2,645 shares acquired under the ESPP on July 8, 2022, and (iii) 2,289 shares acquired under the ESPP on January 5, 2023. /s/ Shannon Drake, Attorney-in-Fact 2023-02-16