0001062993-21-005923.txt : 20210624
0001062993-21-005923.hdr.sgml : 20210624
20210624142827
ACCESSION NUMBER: 0001062993-21-005923
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210622
FILED AS OF DATE: 20210624
DATE AS OF CHANGE: 20210624
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LANCE HOWARD L
CENTRAL INDEX KEY: 0001220679
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38961
FILM NUMBER: 211042114
MAIL ADDRESS:
STREET 1: C/O SUMMIT MATERIALS, INC.
STREET 2: 1550 WYNKOOP STREET, 3RD FLOOR
CITY: DENVER
STATE: CO
ZIP: 80202
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Change Healthcare Inc.
CENTRAL INDEX KEY: 0001756497
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374]
IRS NUMBER: 822152098
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0331
BUSINESS ADDRESS:
STREET 1: 424 CHURCH STREET, SUITE 1400
CITY: NASHVILLE
STATE: TN
ZIP: 37219
BUSINESS PHONE: 615-932-3000
MAIL ADDRESS:
STREET 1: 424 CHURCH STREET, SUITE 1400
CITY: NASHVILLE
STATE: TN
ZIP: 37219
FORMER COMPANY:
FORMER CONFORMED NAME: HCIT Holdings, Inc.
DATE OF NAME CHANGE: 20181019
4
1
form4.xml
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
X0306
4
2021-06-22
0001756497
Change Healthcare Inc.
CHNG
0001220679
LANCE HOWARD L
C/O CHANGE HEALTHCARE INC.
424 CHURCH STREET, SUITE 1400
NASHVILLE
TN
37219
1
0
0
0
Common Stock
2021-06-22
4
A
0
7136
0.00
A
218856
D
Stock Appreciation Right
8.07
2021-06-22
4
A
0
63200
0.00
A
2023-05-22
Common Stock
63200
63200
D
Represents the grant of deferred stock units that vests on June 22, 2022. The shares subject to the units will be issued to the Reporting Person after the Reporting Person's separation from service from the Issuer.
Reflects the vesting of shares of 2.5x stock appreciation rights that were granted in connection with the Company's JV with McKesson as replacement awards for unvested exit-vesting Legacy CHC stock options. The shares of exit-vesting stock appreciation rights vested upon achievement of certain performance criteria on June 22, 2021.
These stock appreciation rights are fully vested.
/s/ Carrie Ratliff, as Attorney-in-Fact
2021-06-24