0001209191-23-017850.txt : 20230310 0001209191-23-017850.hdr.sgml : 20230310 20230310170030 ACCESSION NUMBER: 0001209191-23-017850 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230308 FILED AS OF DATE: 20230310 DATE AS OF CHANGE: 20230310 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MARGOLIS JEFFREY H CENTRAL INDEX KEY: 0001105688 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40295 FILM NUMBER: 23724524 MAIL ADDRESS: STREET 1: 567 SAN NICHOLAS DRIVE STREET 2: SUITE 360 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Alignment Healthcare, Inc. CENTRAL INDEX KEY: 0001832466 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 465596242 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1100 W. TOWN AND COUNTRY ROAD STREET 2: SUITE 1600 CITY: ORANGE STATE: CA ZIP: 92868 BUSINESS PHONE: 844-310-2247 MAIL ADDRESS: STREET 1: 1100 W. TOWN AND COUNTRY ROAD STREET 2: SUITE 1600 CITY: ORANGE STATE: CA ZIP: 92868 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2023-03-08 0 0001832466 Alignment Healthcare, Inc. ALHC 0001105688 MARGOLIS JEFFREY H 1100 W. TOWN & COUNTRY RD., SUITE 1600 ORANGE CA 92868 1 0 0 0 Common Stock 2023-03-08 4 A 0 21802 0.00 A 74451 D Common Stock 425533 I See Footnote Represents 21,802 restricted stock units, each restricted stock unit representing a right to receive one share of Common Stock of the Company, all of which will vest on the one-year anniversary of the grant date unless the reporting person ceases to serve as a member of the Board of Directors prior to such date. Represents securities held by the Margolis Family trust 12/23/98, of which Mr. Margolis is the trustee. /s/ Richard A. Cross, as Attorney-in-Fact, for Jeffrey H. Margolis 2023-03-10