0001209191-22-045617.txt : 20220812 0001209191-22-045617.hdr.sgml : 20220812 20220812163537 ACCESSION NUMBER: 0001209191-22-045617 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220810 FILED AS OF DATE: 20220812 DATE AS OF CHANGE: 20220812 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Schwaneke Jeffrey A. CENTRAL INDEX KEY: 0001446919 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40332 FILM NUMBER: 221160714 MAIL ADDRESS: STREET 1: C/O AGILON HEALTH, INC. STREET 2: 6210 E HWY 290, SUITE 450 CITY: AUSTIN STATE: TX ZIP: 78723 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: 6210 E HWY 290 STREET 2: SUITE 450 CITY: AUSTIN STATE: TX ZIP: 78723 BUSINESS PHONE: 562-256-3800 MAIL ADDRESS: STREET 1: 6210 E HWY 290 STREET 2: SUITE 450 CITY: AUSTIN STATE: TX ZIP: 78723 FORMER COMPANY: FORMER CONFORMED NAME: Agilon Health Topco, Inc. DATE OF NAME CHANGE: 20201103 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-08-10 0 0001831097 agilon health, inc. AGL 0001446919 Schwaneke Jeffrey A. C/O AGILON HEALTH, INC. 6210 E HWY 290, SUITE 450 AUSTIN TX 78723 1 0 0 0 Common Stock 2022-08-10 4 A 0 4009 0.00 A 4009 D Options (Rights to Buy) 27.01 2022-08-10 4 A 0 9680 0.00 A 2032-08-10 Common Stock 9680 9680 D Restricted stock units that vest in full on August 10, 2023, subject to continued service as a director. Options that vest in three equal installments on each anniversary of August 10, 2022, subject to continued service as a director. /s/ Timothy Bensley, as Attorney-in-Fact 2022-08-12