0001209191-21-029007.txt : 20210429
0001209191-21-029007.hdr.sgml : 20210429
20210429161524
ACCESSION NUMBER: 0001209191-21-029007
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201231
FILED AS OF DATE: 20210429
DATE AS OF CHANGE: 20210429
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kusserow Paul B. K.
CENTRAL INDEX KEY: 0001456688
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39427
FILM NUMBER: 21870780
MAIL ADDRESS:
STREET 1: 780 SAN YSIDRO ROAD
CITY: SANTA BARBARA
STATE: CA
ZIP: 93108
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Oak Street Health, Inc.
CENTRAL INDEX KEY: 0001564406
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000]
IRS NUMBER: 843446686
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 30 W. MONROE ST., STE. 1200
CITY: CHICAGO
STATE: IL
ZIP: 60603
BUSINESS PHONE: 312-773-3374
MAIL ADDRESS:
STREET 1: 30 W. MONROE ST., STE. 1200
CITY: CHICAGO
STATE: IL
ZIP: 60603
FORMER COMPANY:
FORMER CONFORMED NAME: Oak Street Health, LLC
DATE OF NAME CHANGE: 20121211
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2020-12-31
0
0
0
0001564406
Oak Street Health, Inc.
OSH
0001456688
Kusserow Paul B. K.
C/O OAK STREET HEALTH, INC.
30 W. MONROE STREET, SUITE 1200
CHICAGO
IL
60603
1
0
0
0
Common stock, $0.001 par value
2020-12-23
5
G
0
L
16100
0.00
D
465053
D
/s/ Robert Guenthner, as attorney-in-fact for Paul B.K. Kusserow
2021-04-29