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