0001593968-23-000806.txt : 20230515 0001593968-23-000806.hdr.sgml : 20230515 20230515213720 ACCESSION NUMBER: 0001593968-23-000806 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230511 FILED AS OF DATE: 20230515 DATE AS OF CHANGE: 20230515 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: 23925389 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 X0407 4 2023-05-11 0001136174 Ontrak, Inc. OTRK 0001403585 LaVerne Brandon H 2200 PASEO VERDE PARKWAY SUITE 280 HENDERSON NV 89052 false true false false Chief Executive Officer Chief Operating Officer false Option (right to buy) 0.4770 2023-05-11 4 A false 350000 0 A 2024-05-11 2030-05-11 Ontrak, Inc. Common Stock 350000 350000 D These securities were granted to Mr. LaVerne for his services as the Interim Chief Executive Officer 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 2023-05-15