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