0000950103-21-002457.txt : 20210217
0000950103-21-002457.hdr.sgml : 20210217
20210217201854
ACCESSION NUMBER: 0000950103-21-002457
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210212
FILED AS OF DATE: 20210217
DATE AS OF CHANGE: 20210217
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Senneff Steve
CENTRAL INDEX KEY: 0001672957
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40028
FILM NUMBER: 21647197
MAIL ADDRESS:
STREET 1: C/O COTIVITI HOLDINGS, INC.
STREET 2: 115 PERIMETER CENTER PLACE, SUITE 700
CITY: ATLANTA
STATE: GA
ZIP: 30346
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Signify Health, Inc.
CENTRAL INDEX KEY: 0001828182
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 800 CONNECTICUT AVENUE
CITY: NORWALK
STATE: CT
ZIP: 06854
BUSINESS PHONE: (203) 541-4600
MAIL ADDRESS:
STREET 1: 800 CONNECTICUT AVENUE
CITY: NORWALK
STATE: CT
ZIP: 06854
4
1
dp146256_4-senneff.xml
FORM 4
X0306
4
2021-02-12
0
0001828182
Signify Health, Inc.
SGFY
0001672957
Senneff Steve
C/O SIGNIFY HEALTH, INC.
800 CONNECTICUT AVENUE
NORWALK
CT
06854
0
1
0
0
Pres., Chief Fin. & Admin Off.
Class A Common Stock
2021-02-12
4
A
0
98214
0
A
98214
D
Class B Common Stock
2021-02-12
4
A
0
506975
0.01
A
506975
D
Class A Common Stock
2021-02-16
4
P
0
13900
24
A
112114
D
Employee Stock Options (Right to Buy)
8.46
2021-02-12
4
A
0
883932
0
A
2029-06-10
Class A Common Stock
883932
883932
D
LLC Units in Cure Aggregator, LLC
2021-02-12
4
A
0
506975
0
A
Class A Common Stock
506975
506975
D
These securities were acquired through the conversion prior to the completion of the Issuer's initial public offering of historical interests held by the reporting person in New Remedy Corp.
These securities were acquired through the conversion prior to the completion of the Issuer's initial public offering of historical interests held by the reporting person in Cure Aggregator, LLC.
These securities were purchased through the Issuer's directed share program in connection with its initial public offering.
The stock options service-vest in equal installments on each of March 14, 2021, 2022 and 2023 and performance-vest based on the achievement by New Mountain Capital, LLC and its affiliates of specified multiple of invested capital return thresholds.
The LLC Units service-vest 25% on each of the first four anniversaries of February 18, 2019 and performance-vest based on the achievement by New Mountain Capital, LLC and its affiliates of specified cash-on-cash return thresholds. Upon vesting, each LLC Unit may be converted by the holder into an LLC Unit of Cure TopCo, LLC, which may thereafter be redeemed for, together with the cancellation of a share of Class B common stock, one share of Class A common stock or a cash payment equal to the volume weighted average market price of one share of Class A common stock for each LLC Unit redeemed. The LLC Units do not expire.
/s/ Adam McAnaney as Attorney-in-Fact for Steve Senneff
2021-02-17