0001593968-22-000867.txt : 20220414
0001593968-22-000867.hdr.sgml : 20220414
20220414173046
ACCESSION NUMBER: 0001593968-22-000867
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220412
FILED AS OF DATE: 20220414
DATE AS OF CHANGE: 20220414
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LaVerne Brandon H
CENTRAL INDEX KEY: 0001403585
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31932
FILM NUMBER: 22828371
MAIL ADDRESS:
STREET 1: 1940 E. MARIPOSA AVE.
STREET 2: ATTN: BRANDON LAVERNE
CITY: EL SEGUNDO
STATE: CA
ZIP: 90245
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Ontrak, Inc.
CENTRAL INDEX KEY: 0001136174
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090]
IRS NUMBER: 880464853
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2120 COLORADO AVE
STREET 2: SUITE 230
CITY: SANTA MONICA
STATE: CA
ZIP: 90404
BUSINESS PHONE: 310 444 4300
MAIL ADDRESS:
STREET 1: 2120 COLORADO AVE
STREET 2: SUITE 230
CITY: SANTA MONICA
STATE: CA
ZIP: 90404
FORMER COMPANY:
FORMER CONFORMED NAME: CATASYS, INC.
DATE OF NAME CHANGE: 20110316
FORMER COMPANY:
FORMER CONFORMED NAME: HYTHIAM, INC.
DATE OF NAME CHANGE: 20101029
FORMER COMPANY:
FORMER CONFORMED NAME: HYTHIAM INC
DATE OF NAME CHANGE: 20031003
4
1
primary_01.xml
PRIMARY DOCUMENT
X0306
4
2022-04-12
0001136174
Ontrak, Inc.
OTRK
0001403585
LaVerne Brandon H
2120 COLORADO AVE.
SUITE 230
SANTA MONICA
CA
90404
false
true
false
false
Chief Financial Officer
Common Stock
2740
I
By 401k Plan
Option (right to buy)
1.73
2022-04-12
4
A
false
37000
0
A
2023-04-12
2029-04-12
Ontrak, Inc. Common Stock
37000
37000
D
Option (right to buy)
14.38
2021-03-25
2030-03-25
Common Stock
20862
20862
D
Option (right to buy)
14.38
2021-03-25
2030-03-25
Common Stock
129138
129138
D
As of April 12, 2022 Mr. LaVerne has acquired 2,740 shares of the Company's common stock under the Company's 401(k) plan.
These securities were granted to Mr. LaVerne for his services as the Chief Financial Officer of the Company.
25% of these options shall vest one year from the date of grant and the remaining options shall vest in 12 equal quarterly installments thereafter over the next three years.
/s/ Brandon LaVerne
2022-04-14