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