0000950103-22-017111.txt : 20221003 0000950103-22-017111.hdr.sgml : 20221003 20221003194611 ACCESSION NUMBER: 0000950103-22-017111 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220930 FILED AS OF DATE: 20221003 DATE AS OF CHANGE: 20221003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Clayton Taj J. CENTRAL INDEX KEY: 0001842576 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40028 FILM NUMBER: 221289247 MAIL ADDRESS: STREET 1: 800 CONNECTICUT AVENUE 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 1 dp181808_4-clayton.xml FORM 4 X0306 4 2022-09-30 0 0001828182 Signify Health, Inc. SGFY 0001842576 Clayton Taj J. C/O SIGNIFY HEALTH, INC. 800 CONNECTICUT AVENUE NORWALK CT 06854 1 0 0 0 Class A Common Stock 2022-09-30 4 A 0 622 0 A 25523 D Represents a grant of restricted stock units on September 30, 2022 that were fully vested on the grant date. /s/ Adam McAnaney as Attorney-in-Fact for Taj J. Clayton 2022-10-03