0000899243-22-025156.txt : 20220705 0000899243-22-025156.hdr.sgml : 20220705 20220705210035 ACCESSION NUMBER: 0000899243-22-025156 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220630 FILED AS OF DATE: 20220705 DATE AS OF CHANGE: 20220705 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ZORETIC RICHARD C CENTRAL INDEX KEY: 0001263714 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40362 FILM NUMBER: 221067198 MAIL ADDRESS: STREET 1: C/O AMERIGROUP CORP STREET 2: 4425 CORPORATION LANE CITY: VIRGINIA BEACH STATE: VA ZIP: 23462 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Aveanna Healthcare Holdings, Inc. CENTRAL INDEX KEY: 0001832332 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 844717209 STATE OF INCORPORATION: DE FISCAL YEAR END: 0101 BUSINESS ADDRESS: STREET 1: 400 INTERSTATE NORTH PARKWAY STREET 2: STE 1700 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 770-441-1580 MAIL ADDRESS: STREET 1: 400 INTERSTATE NORTH PARKWAY STREET 2: STE 1700 CITY: ATLANTA STATE: GA ZIP: 30339 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-06-30 0 0001832332 Aveanna Healthcare Holdings, Inc. AVAH 0001263714 ZORETIC RICHARD C C/O AVEANNA HEALTHCARE HOLDINGS INC 400 INTERSTATE NORTH PARKWAY SE ATLANTA GA 30339 1 0 0 0 Common Stock 2022-06-30 4 M 0 10509 A 31009 D Restricted Stock Units 2022-06-30 4 M 0 10509 0.00 D Common Stock, par value $0.01 per share 10509 0 D Each restricted stock unit converts into one share of common stock, $0.01 par value per share ("common stock"), of Aveanna Healthcare Holdings Inc. On June 30, 2021, the reporting person was granted 10,509 restricted stock units, which vested on June 30, 2022. /s/ Shannon Drake, Attorney-In fact 2022-07-05