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