0001759655-23-000152.txt : 20230705
0001759655-23-000152.hdr.sgml : 20230705
20230705163105
ACCESSION NUMBER: 0001759655-23-000152
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230701
FILED AS OF DATE: 20230705
DATE AS OF CHANGE: 20230705
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: 231069630
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
wk-form4_1688589007.xml
FORM 4
X0407
4
2023-07-01
0
0001759655
Privia Health Group, Inc.
PRVA
0001500886
McCarthy Thomas A
PRIVIA HEALTH GROUP, INC.
950 N. GLEBE RD., SUITE 700.
ARLINGTON
VA
22203
1
0
0
0
0
Common Stock, $0.01 par value per share
2023-07-01
4
A
0
7758
0
A
31487
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
2023-07-05