0001759655-24-000093.txt : 20240523
0001759655-24-000093.hdr.sgml : 20240523
20240523170609
ACCESSION NUMBER: 0001759655-24-000093
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240522
FILED AS OF DATE: 20240523
DATE AS OF CHANGE: 20240523
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kimmet Pamela O
CENTRAL INDEX KEY: 0001589981
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40365
FILM NUMBER: 24979520
MAIL ADDRESS:
STREET 1: 11207 ORANGE HIBISCUS LANE
CITY: PALM BEACH GARDENS
STATE: FL
ZIP: 33418
FORMER NAME:
FORMER CONFORMED NAME: Kimmet Pamela O.
DATE OF NAME CHANGE: 20131023
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Privia Health Group, Inc.
CENTRAL INDEX KEY: 0001759655
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000]
ORGANIZATION NAME: 08 Industrial Applications and Services
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_1716498346.xml
FORM 4
X0508
4
2024-05-22
0
0001759655
Privia Health Group, Inc.
PRVA
0001589981
Kimmet Pamela O
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
2024-05-22
4
A
0
11124
0
A
17313
D
On May 22, 2024, the reporting person received 11,124 restricted stock units under the Issuer's 2021 Omnibus Incentive Plan. The restricted stock units will vest on the earlier of (i) the day immediately preceding the Company's 2025 annual meeting of stockholders and (ii) the first anniversary of the date of the grant.
/s/ Anita Beth Adams, as attorney-in-fact
2024-05-23