0001801170-23-000067.txt : 20231020
0001801170-23-000067.hdr.sgml : 20231020
20231020172153
ACCESSION NUMBER: 0001801170-23-000067
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231018
FILED AS OF DATE: 20231020
DATE AS OF CHANGE: 20231020
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Priest Brady Patrick
CENTRAL INDEX KEY: 0001938197
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39252
FILM NUMBER: 231337796
MAIL ADDRESS:
STREET 1: C/O CLOVER HEALTH INVESTMENTS, CORP.
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
wk-form4_1697836823.xml
FORM 4
X0508
4
2023-10-18
0
0001801170
CLOVER HEALTH INVESTMENTS, CORP. /DE
CLOV
0001938197
Priest Brady Patrick
C/O CLOVER HEALTH INVESTMENTS, CORP.
3401 MALLORY LANE, SUITE 210
FRANKLIN
TN
37067
0
1
0
0
CEO of Home Care
0
Class A Common Stock
2023-10-18
4
F
0
32416
0.99
D
1529061
D
Represents shares of Class A Common Stock that were automatically withheld to cover tax obligations upon the vesting, on October 18, 2023, of 6.25% of the original number of time-based restricted stock units ("RSUs") granted to the Reporting Person on July 18, 2022, and timely reported on a Form 4 filed on July 19, 2022. The remaining RSUs vest quarterly in equal installments of 6.25%, with the final vesting date occurring on July 18, 2026, subject to the continued service of the Reporting Person on such vesting date.
/s/ Jamie L. Reynoso as attorney-in-fact for Brady Priest
2023-10-20