0001593968-22-001677.txt : 20221201 0001593968-22-001677.hdr.sgml : 20221201 20221201192230 ACCESSION NUMBER: 0001593968-22-001677 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221129 FILED AS OF DATE: 20221201 DATE AS OF CHANGE: 20221201 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: 221439953 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: 2200 PASEO VERDE PARKWAY STREET 2: SUITE 280 CITY: HENDERSON STATE: NV ZIP: 89052 BUSINESS PHONE: 310 444 4300 MAIL ADDRESS: STREET 1: 2200 PASEO VERDE PARKWAY STREET 2: SUITE 280 CITY: HENDERSON STATE: NV ZIP: 89052 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 2022-11-29 0001136174 Ontrak, Inc. OTRK 0001403585 LaVerne Brandon H 2200 PASEO VERDE PARKWAY SUITE 280 HENDERSON NV 89052 false true false false Chief Operating Officer Common Stock 18234.60 I By 401k Plan Option (right to buy) 0.4030 2022-11-29 4 A false 250000 0 A 2023-11-29 2029-11-29 Ontrak, Inc. Common Stock 250000 250000 D As of November 29, 2022, Mr. LaVerne has acquired 18,234.6 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 Co-President and Chief Operating Officer of the Company. 25% of these options vest one year from the date of grant and the remaining options vest in six equal installments every six months thereafter over the next three years. /s/ Brandon LaVerne 2022-12-01