0001209191-23-002592.txt : 20230109 0001209191-23-002592.hdr.sgml : 20230109 20230109171316 ACCESSION NUMBER: 0001209191-23-002592 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221215 FILED AS OF DATE: 20230109 DATE AS OF CHANGE: 20230109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kornitzer Benjamin CENTRAL INDEX KEY: 0001855842 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40332 FILM NUMBER: 23518864 MAIL ADDRESS: STREET 1: C/O AGILON HEALTH, INC. STREET 2: 6210 E HWY 290, SUITE 450 CITY: AUSTIN STATE: TX ZIP: 78723 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: agilon health, inc. CENTRAL INDEX KEY: 0001831097 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 371915147 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6210 E HWY 290 STREET 2: SUITE 450 CITY: AUSTIN STATE: TX ZIP: 78723 BUSINESS PHONE: 562-256-3800 MAIL ADDRESS: STREET 1: 6210 E HWY 290 STREET 2: SUITE 450 CITY: AUSTIN STATE: TX ZIP: 78723 FORMER COMPANY: FORMER CONFORMED NAME: Agilon Health Topco, Inc. DATE OF NAME CHANGE: 20201103 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2022-12-15 2022-12-19 0 0001831097 agilon health, inc. AGL 0001855842 Kornitzer Benjamin C/O AGILON HEALTH, INC. 6210 E HWY 290, SUITE 450 AUSTIN TX 78723 0 1 0 0 Chief Med. & Quality Officer Common Stock 2022-12-16 4 M 0 4511 4.49 A 14937 D Common Stock 2022-12-16 4 M 0 887 8.99 A 15824 D Options (Rights to Buy) 4.49 2022-12-16 4 M 0 4511 0.00 D 2030-01-31 Common Stock 4511 275000 D Options (Rights to Buy) 8.99 2022-12-16 4 M 0 887 0.00 D 2030-01-31 Common Stock 887 249113 D Includes restricted stock units. These options were granted on January 31, 2020 and vest in four equal installments on January 31 of each of 2021, 2022, 2023, and 2024. These options were granted on January 31, 2020 and vested on September 14, 2021. This Form 4 Amendment corrects the tranche of 887 vested options exercised by the Reporting Filer as reported on the Form 4 filed on December 19, 2022. /s/ Timothy Bensley, as Attorney-in-Fact 2023-01-09