0000899243-22-020432.txt : 20220601
0000899243-22-020432.hdr.sgml : 20220601
20220601164236
ACCESSION NUMBER: 0000899243-22-020432
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220527
FILED AS OF DATE: 20220601
DATE AS OF CHANGE: 20220601
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: McCarthy Thomas A
CENTRAL INDEX KEY: 0001500886
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40365
FILM NUMBER: 22987977
MAIL ADDRESS:
STREET 1: 1601 CHESTNUT STREET
STREET 2: SHAREHOLDER SERVICES TL18Y
CITY: PHILADELPHIA
STATE: PA
ZIP: 19192
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Privia Health Group, Inc.
CENTRAL INDEX KEY: 0001759655
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 950 N. GLEBE RD., SUITE 700
CITY: ARLINGTON
STATE: VA
ZIP: 22203
BUSINESS PHONE: 571-366-8850
MAIL ADDRESS:
STREET 1: 950 N. GLEBE RD., SUITE 700
CITY: ARLINGTON
STATE: VA
ZIP: 22203
FORMER COMPANY:
FORMER CONFORMED NAME: PH Group Parent Corp.
DATE OF NAME CHANGE: 20181120
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-05-27
0
0001759655
Privia Health Group, Inc.
PRVA
0001500886
McCarthy Thomas A
PRIVIA HEALTH GROUP, INC.
950 N. GLEBE ROAD, SUITE 700
ARLINGTON
VA
22203
1
0
0
0
Common Stock, $0.01 par value per share
2022-05-27
4
A
0
7425
0.00
A
23729
D
Represents restricted stock units granted under the Issuer's 2021 Omnibus Incentive Plan that will become fully vested on the first anniversary of the grant date.
/s/ Thomas Bartrum, as attorney-in-fact
2022-06-01