0000899243-23-005325.txt : 20230216 0000899243-23-005325.hdr.sgml : 20230216 20230216205315 ACCESSION NUMBER: 0000899243-23-005325 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230214 FILED AS OF DATE: 20230216 DATE AS OF CHANGE: 20230216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Afshar David CENTRAL INDEX KEY: 0001858855 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40362 FILM NUMBER: 23640075 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: 0101 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 2023-02-14 0 0001832332 Aveanna Healthcare Holdings, Inc. AVAH 0001858855 Afshar David C/O AVEANNA HEALTHCARE HOLDINGS INC. 400 INTERSTATE NORTH PARKWAY SE ATLANTA GA 30339 0 1 0 0 Chief Financial Officer Common Stock, par value $0.01 per share 2023-02-14 4 A 0 314688 0.00 A 602928 D Grant of stock-settled restricted stock unit, subject to three-year cliff vesting. /s/ Shannon Drake, Attorney-in-Fact 2023-02-16