0000899243-22-000125.txt : 20220103 0000899243-22-000125.hdr.sgml : 20220103 20220103161532 ACCESSION NUMBER: 0000899243-22-000125 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211229 FILED AS OF DATE: 20220103 DATE AS OF CHANGE: 20220103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Reisz Edwin C. CENTRAL INDEX KEY: 0001859462 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40362 FILM NUMBER: 22502266 MAIL ADDRESS: STREET 1: C/O AVEANNA HEALTHCARE HOLDINGS INC. STREET 2: 400 INTERSTATE NORTH PARKWAY SE STE 1600 CITY: ATLANTA STATE: GA ZIP: 30339 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Aveanna Healthcare Holdings, Inc. CENTRAL INDEX KEY: 0001832332 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 844717209 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 INTERSTATE NORTH PARKWAY STREET 2: STE 1700 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 770-441-1580 MAIL ADDRESS: STREET 1: 400 INTERSTATE NORTH PARKWAY STREET 2: STE 1700 CITY: ATLANTA STATE: GA ZIP: 30339 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-12-29 0 0001832332 Aveanna Healthcare Holdings, Inc. AVAH 0001859462 Reisz Edwin C. C/O AVEANNA HEALTHCARE HOLDINGS INC. 400 INTERSTATE NORTH PARKWAY SE ATLANTA GA 30339 0 1 0 0 Chief Administrative Officer Common Stock, par value $0.01 per share 2021-12-29 4 A 0 125000 0.00 A 828986 D Grant of stock-settled restricted stock unit, subject to four-year cliff vesting. /s/ Shannon Drake, Attorney-in-Fact 2022-01-03