0001759655-24-000016.txt : 20240131 0001759655-24-000016.hdr.sgml : 20240131 20240131162702 ACCESSION NUMBER: 0001759655-24-000016 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240129 FILED AS OF DATE: 20240131 DATE AS OF CHANGE: 20240131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fargis Edward C CENTRAL INDEX KEY: 0002009323 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40365 FILM NUMBER: 24583304 MAIL ADDRESS: STREET 1: PRIVIA HEALTH GROUP, INC. STREET 2: 950 N. GLEBE RD., 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] 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_1706736410.xml FORM 4 X0508 4 2024-01-29 0 0001759655 Privia Health Group, Inc. PRVA 0002009323 Fargis Edward C PRIVIA HEALTH GROUP, INC. 950 N. GLEBE. RD., SUITE 700 ARLINGTON VA 22203 0 1 0 0 EVP & General Counsel 0 Common Stock, $0.01 par value per share 2024-01-29 4 A 0 44404 0 A 44404 D Represents restricted stock units granted under the Issuer's 2021 Omnibus Incentive Plan that will vest on the third anniversary of the grant date, generally subject to continued service through such date. /s/ Edward C. Fargis 2024-01-31