0000950103-21-006424.txt : 20210429 0000950103-21-006424.hdr.sgml : 20210429 20210429192427 ACCESSION NUMBER: 0000950103-21-006424 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20210428 FILED AS OF DATE: 20210429 DATE AS OF CHANGE: 20210429 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sullivan William M CENTRAL INDEX KEY: 0001859839 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40365 FILM NUMBER: 21872975 MAIL ADDRESS: STREET 1: ONE PENN PLAZA, SUITE 5300 CITY: NY STATE: NY ZIP: 10119 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 3 1 dp150291_3-sullivan.xml FORM 3 X0206 3 2021-04-28 1 0001759655 Privia Health Group, Inc. PRVA 0001859839 Sullivan William M PRIVIA HEALTH GROUP, INC. 950 N. GLEBE RD., SUITE 700. ARLINGTON VA 22203 1 0 0 0 /s/ Thomas Bartrum, EVP, General Counsel 2021-04-28 EX-24 2 dp150291_ex24.htm EXHIBIT 24

 

Exhibit 24

 

 

Privia Health

950 N Glebe Road, Suite 700

Arlington VA, 22203

   

POWER OF ATTORNEY

 

Know all by these presents, that the undersigned hereby constitutes and appoints each of Thomas Bartrum and Anita Beth Adams, signing singly, the undersigned’s true and lawful attorney-in-fact to:

 

(1)prepare, execute in the undersigned’s name and on the undersigned’s behalf, and submit to the U.S. Securities and Exchange Commission (the “SEC”) a Form ID, including amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings with the SEC of reports required by Section 16(a) of the Securities Exchange Act of 1934 or any rule or regulation of the SEC;

 

(2)execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer and/or director of Privia Health Group, Inc. (the “Company”), Forms 3, 4, and 5, including any amendments thereto, in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder, and any other forms or reports the undersigned may be required to file in connection with the undersigned’s ownership, acquisition, or disposition of securities of the Company;

 

(3)do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, or other form or report, and timely file such form or report with the United States Securities and Exchange Commission and any stock exchange or similar authority; and

 

(4)take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact’s discretion.

 

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact’s substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

 

 

 

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

 

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 27th day of April, 2021.

 

By: /s/ William M. Sullivan

Name:

William M. Sullivan

Title:

Director

 

GRAPHIC 3 image_001.jpg GRAPHIC begin 644 image_001.jpg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