0000950103-21-018641.txt : 20211126 0000950103-21-018641.hdr.sgml : 20211126 20211126180016 ACCESSION NUMBER: 0000950103-21-018641 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211123 FILED AS OF DATE: 20211126 DATE AS OF CHANGE: 20211126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mehrotra Parth CENTRAL INDEX KEY: 0001858398 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40365 FILM NUMBER: 211452379 MAIL ADDRESS: STREET 1: 950 N. GLEBE RD. STREET 2: SUITE 700 CITY: ARLINGTON STATE: VA ZIP: 22203 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 dp162534_4-mehotra.xml FORM 4 X0306 4 2021-11-23 0 0001759655 Privia Health Group, Inc. PRVA 0001858398 Mehrotra Parth PRIVIA HEALTH GROUP, INC. 950 N. GLEBE RD., SUITE 700. ARLINGTON VA 22203 0 1 0 0 President and COO Common Stock, $0.01 par value per share 2021-11-23 4 M 0 110104 2 A 255320 D Common Stock, $0.01 par value per share 2021-11-23 4 S 0 157929 27.695 D 97391 D Stock Option (Right to Purchase) 2 2021-11-23 4 M 0 110104 0 D 2018-08-28 2033-08-27 Common Stock 110104 1770980 D This sale was effected pursuant to a public secondary offering of shares of common stock, par value $0.01 per share (the "Common Stock"), of Privia Health Group, Inc. on November 23, 2021. This amount represents the $29.00 secondary public offering price per share of Common Stock of Privia Health Group, Inc., less the underwriting discount of $1.305 per share. /s/ Thomas Bartrum, as attorney-in-fact 2021-11-26