0000895345-23-000389.txt : 20230616
0000895345-23-000389.hdr.sgml : 20230616
20230616160209
ACCESSION NUMBER: 0000895345-23-000389
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230509
FILED AS OF DATE: 20230616
DATE AS OF CHANGE: 20230616
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sharp Aric R
CENTRAL INDEX KEY: 0001926602
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39252
FILM NUMBER: 231020872
MAIL ADDRESS:
STREET 1: C/O CLOVER HEALTH INVESTMENTS, CORP.
STREET 2: 3401 MALLORY LANE, SUITE 210
CITY: FRANKLIN
STATE: TN
ZIP: 37067
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CLOVER HEALTH INVESTMENTS, CORP. /DE
CENTRAL INDEX KEY: 0001801170
STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324]
IRS NUMBER: 981515192
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3401 MALLORY LANE, SUITE 210
CITY: FRANKLIN
STATE: TN
ZIP: 37067
BUSINESS PHONE: (201) 432-2133
MAIL ADDRESS:
STREET 1: 3401 MALLORY LANE, SUITE 210
CITY: FRANKLIN
STATE: TN
ZIP: 37067
FORMER COMPANY:
FORMER CONFORMED NAME: CLOVER HEALTH INVESTMENTS, CORP.
DATE OF NAME CHANGE: 20210107
FORMER COMPANY:
FORMER CONFORMED NAME: Social Capital Hedosophia Holdings Corp. III
DATE OF NAME CHANGE: 20200124
4
1
form4.xml
X0407
4
2023-05-09
0001801170
CLOVER HEALTH INVESTMENTS, CORP. /DE
CLOV
0001926602
Sharp Aric R
C/O CLOVER HEALTH INVESTMENTS, CORP.
3401 MALLORY LANE, SUITE 210
FRANKLIN
TN
37067
true
CEO of Value-Based Care
false
Class A Common Stock
2023-05-09
4
F
0
28148
0.93
D
342819
D
Represents shares of Class A Common Stock that were automatically withheld to cover tax obligations upon the vesting, on May 9, 2023, of 25% of the original number of time-based restricted stock units ("RSUs") granted to the Reporting Person on May 9, 2022, and timely reported on a Form 4 filed on May 10, 2022. The remaining RSUs will vest in twelve equal quarterly installments beginning on the date that is three months after May 9, 2023, in each case subject to the continued service of the Reporting Person on such vesting date.
/s/ Scott Leffler as attorney-in-fact
for Aric Sharp
2023-06-16