0000950103-21-006545.txt : 20210430 0000950103-21-006545.hdr.sgml : 20210430 20210430213841 ACCESSION NUMBER: 0000950103-21-006545 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210428 FILED AS OF DATE: 20210430 DATE AS OF CHANGE: 20210430 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Butler Jeffrey B CENTRAL INDEX KEY: 0001859428 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40365 FILM NUMBER: 21880944 MAIL ADDRESS: STREET 1: 950 N. GLEBE RD., SUITE 700 CITY: ARLINGTON STATE: VA ZIP: 22101 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 dp150368_4-butler.xml FORM 4 X0306 4 2021-04-28 0 0001759655 Privia Health Group, Inc. PRVA 0001859428 Butler Jeffrey B PRIVIA HEALTH GROUP, INC. 950 N. GLEBE RD., SUITE 700. ARLINGTON VA 22203 1 0 0 0 Common Stock, $0.01 par value per share 2021-04-28 4 A 0 7609 0 A 7609 D Represents restricted stock units granted under the Issuer's 2021 Omnibus Incentive Plan that will become fully vested on the first anniversary of the grant date. /s/ Thomas Bartrum, EVP, General Counsel 2021-04-30