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