0000950103-21-014161.txt : 20210917 0000950103-21-014161.hdr.sgml : 20210917 20210917162625 ACCESSION NUMBER: 0000950103-21-014161 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210825 FILED AS OF DATE: 20210917 DATE AS OF CHANGE: 20210917 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Goldberg Arnold CENTRAL INDEX KEY: 0001879184 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40028 FILM NUMBER: 211260724 MAIL ADDRESS: STREET 1: C/O SIGNIFY HEALTH, INC. STREET 2: 800 CONNECTICUT AVE CITY: NORWALK STATE: CT ZIP: 06854 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Signify Health, Inc. CENTRAL INDEX KEY: 0001828182 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 800 CONNECTICUT AVENUE CITY: NORWALK STATE: CT ZIP: 06854 BUSINESS PHONE: (203) 541-4600 MAIL ADDRESS: STREET 1: 800 CONNECTICUT AVENUE CITY: NORWALK STATE: CT ZIP: 06854 4/A 1 dp158036_4a-goldberg.xml X0306 4/A 2021-08-25 2021-08-27 0 0001828182 Signify Health, Inc. SGFY 0001879184 Goldberg Arnold C/O SIGNIFY HEALTH, INC. 800 CONNECTICUT AVENUE NORWALK CT 06854 1 0 0 0 Class A Common Stock 2021-08-25 4 A 0 14504 0 A 14504 D This Form 4/A is being filed to amend the number of shares of Class A common stock underlying two awards of restricted stock units granted to the reporting person on August 25, 2021 (each with respect to 7,252 shares), which had been misreported due to an administrative error. /s/ Adam McAnaney as Attorney-in-Fact for Arnold Goldberg 2021-09-17