0001209191-21-027046.txt : 20210416
0001209191-21-027046.hdr.sgml : 20210416
20210416190546
ACCESSION NUMBER: 0001209191-21-027046
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210414
FILED AS OF DATE: 20210416
DATE AS OF CHANGE: 20210416
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SMITH MICHAEL L
CENTRAL INDEX KEY: 0001194201
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40332
FILM NUMBER: 21832685
MAIL ADDRESS:
STREET 1: ANTHEM INC
STREET 2: 120 MONUMENT CIRCLE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: agilon health, inc.
CENTRAL INDEX KEY: 0001831097
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090]
IRS NUMBER: 371915147
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1 WORLD TRADE CENTER
STREET 2: SUITE 2000
CITY: LONG BEACH
STATE: CA
ZIP: 90831
BUSINESS PHONE: 562-256-3800
MAIL ADDRESS:
STREET 1: 1 WORLD TRADE CENTER
STREET 2: SUITE 2000
CITY: LONG BEACH
STATE: CA
ZIP: 90831
FORMER COMPANY:
FORMER CONFORMED NAME: Agilon Health Topco, Inc.
DATE OF NAME CHANGE: 20201103
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-04-14
0
0001831097
agilon health, inc.
AGL
0001194201
SMITH MICHAEL L
C/O AGILON HEALTH, INC.
1 WORLD TRADE CENTER, SUITE 2000
LONG BEACH
CA
90831
1
0
0
0
Common Stock
2021-04-14
4
A
0
6956
0.00
A
152056
D
Common Stock
150000
I
By trust
Restricted stock units that vests in full on April 14, 2022, subject to continued service as a director.
These shares of common stock are held in the Michael L. Smith Revised and Amended Trust Dated August 1, 2011.
/s/ Lyn Amor Macaraeg, as Attorney-in-Fact
2021-04-16