0000899243-21-027533.txt : 20210706
0000899243-21-027533.hdr.sgml : 20210706
20210706164004
ACCESSION NUMBER: 0000899243-21-027533
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210630
FILED AS OF DATE: 20210706
DATE AS OF CHANGE: 20210706
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Retchin Sheldon M
CENTRAL INDEX KEY: 0001470958
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40362
FILM NUMBER: 211074633
MAIL ADDRESS:
STREET 1: 3350 RIVERWOOD PARKWAY SUITE 1400
CITY: ATLANTA
STATE: GA
ZIP: 30339
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: 1231
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
2021-06-30
0
0001832332
Aveanna Healthcare Holdings, Inc.
AVAH
0001470958
Retchin Sheldon M
C/O AVEANNA HEALTHCARE HOLDINGS INC
400 INTERSTATE NORTH PARKWAY SE
ATLANTA
GA
30339
1
0
0
0
Restricted Stock Units
2021-06-30
4
A
0
10509
0.00
A
Common Stock, par value $0.01 per share
10509
10509
D
Each restricted stock unit ("RSU") provides for the right to receive one share of common stock, $0.01 par value per share ("common stock"), of Aveanna Healthcare Holdings Inc. .
The RSUs vest on June 30, 2022. 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
2021-07-06