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