0000895345-23-000456.txt : 20230810
0000895345-23-000456.hdr.sgml : 20230810
20230810162835
ACCESSION NUMBER: 0000895345-23-000456
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230810
FILED AS OF DATE: 20230810
DATE AS OF CHANGE: 20230810
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: 231159981
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
X0508
4
2023-08-10
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
2023-08-09
4
F
0
7037
1.39
D
335782
D
Represents shares of Class A Common Stock that were automatically withheld to cover tax obligations upon the vesting, on August 9, 2023, of 6.25% 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 quarterly in equal installments of 6.25%, with the final vesting date occurring on May 9, 2026, subject to the continued service of the Reporting Person on each such vesting date.
/s/ Jamie L. Reynoso as attorney-in-fact for Aric R. Sharp
2023-08-10