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