0000899243-22-029049.txt : 20220817
0000899243-22-029049.hdr.sgml : 20220817
20220817180032
ACCESSION NUMBER: 0000899243-22-029049
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220815
FILED AS OF DATE: 20220817
DATE AS OF CHANGE: 20220817
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: 221175635
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
2022-08-15
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
Restricted Stock Units
2022-08-15
4
A
0
61611
0.00
A
Common Stock, par value $0.01 per share
61611
61611
D
Each restricted stock unit ("RSU") converts into one share of common stock, $0.01 par value per share ("common stock"), of Aveanna Healthcare Holdings Inc.
The RSUs vest on August 15, 2023. Common stock in respect of vested RSUs will be delivered to the reporting person as soon as practicable following the vesting date, and, in any event, within 60 days following such date.
/s/ Shannon Drake, Attorney-In fact
2022-08-17