0001959173-23-002528.txt : 20230719 0001959173-23-002528.hdr.sgml : 20230719 20230719164511 ACCESSION NUMBER: 0001959173-23-002528 CONFORMED SUBMISSION TYPE: 144 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20230719 DATE AS OF CHANGE: 20230719 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: 144 SEC ACT: 1933 Act SEC FILE NUMBER: 001-40365 FILM NUMBER: 231097157 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 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: Mehrotra Parth CENTRAL INDEX KEY: 0001858398 FILING VALUES: FORM TYPE: 144 MAIL ADDRESS: STREET 1: 950 N. GLEBE RD. STREET 2: SUITE 700 CITY: ARLINGTON STATE: VA ZIP: 22203 144 1 primary_doc.xml 144 0001858398 XXXXXXXX LIVE 0001759655 Privia Health Group, Inc. 001-40365 950 N. GLEBE RD., SUITE 700 ARLINGTON VA 22203 571-366-8850 Mehrotra Parth Officer Director Common Fidelity Brokerage Services LLC

900 Salem Street Smithfield RI 02917

12414 348311.19 115662314 07/19/2023 NASDAQ Common 07/19/2023 Options Granted - 08/28/2018 Issuer N 12414 07/19/2023 Cash N Parth Mehrotra

950 N. Glebe Rd. Suite 700. Arlington VA 22203

Common 04/27/2023 1102 30856.00 Parth Mehrotra

950 N. Glebe Rd., Suite 700 Arlington VA 22203

Common 05/01/2023 28323 790614.63 Parth Mehrotra

950 N. Glebe Rd. Suite 700 Arlington VA 22203

Common 05/02/2023 7625 207840.73 Parth Mehrotra

950 N. Glebe Rd. Suite 700 Arlington VA 22203

Common 05/05/2023 117301 3354539.65 Parth Mehrotra

950 N. Glebe Rd. Suite 700 Arlington VA 22203

Common 05/11/2023 225 6300.00 Parth Mehrotra

950 N. Glebe Rd. Suite 700 Arlington VA 22203

Common 06/08/2023 8395 235065.04 Parth Mehrotra

950 N. Glebe Rd., Suite 700 Arlington VA 22203

Common 06/09/2023 91605 2598009.41 10B5-1 Plan was amended on 11/16/2022. 07/19/2023 08/15/2022 /s/ Jennifer Ruchti, as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Parth Mehrotra