0001209191-21-026700.txt : 20210414 0001209191-21-026700.hdr.sgml : 20210414 20210414183909 ACCESSION NUMBER: 0001209191-21-026700 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210414 FILED AS OF DATE: 20210414 DATE AS OF CHANGE: 20210414 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CD&R Investment Associates IX, Ltd. CENTRAL INDEX KEY: 0001624514 STATE OF INCORPORATION: E9 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40332 FILM NUMBER: 21826850 BUSINESS ADDRESS: STREET 1: MAPLES CORPORATE SERVICES LIMITED STREET 2: UGLAND HOUSE CITY: GRAND CAYMAN STATE: E9 ZIP: KY101194 BUSINESS PHONE: 345-949-8066 MAIL ADDRESS: STREET 1: MAPLES CORPORATE SERVICES LIMITED STREET 2: UGLAND HOUSE CITY: GRAND CAYMAN STATE: E9 ZIP: KY101194 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CD&R Vector Holdings, L.P. CENTRAL INDEX KEY: 0001852347 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40332 FILM NUMBER: 21826849 BUSINESS ADDRESS: STREET 1: UGLAND HOUSE, SOUTH CHURCH STREET CITY: GRAND CAYMAN STATE: E9 ZIP: KY1-1104 BUSINESS PHONE: 212-407-5200 MAIL ADDRESS: STREET 1: C/O CLAYTON, DUBILIER & RICE, LLC STREET 2: 375 PARK AVENUE, 18TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10152 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: agilon health, inc. CENTRAL INDEX KEY: 0001831097 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 371915147 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1 WORLD TRADE CENTER STREET 2: SUITE 2000 CITY: LONG BEACH STATE: CA ZIP: 90831 BUSINESS PHONE: 562-256-3800 MAIL ADDRESS: STREET 1: 1 WORLD TRADE CENTER STREET 2: SUITE 2000 CITY: LONG BEACH STATE: CA ZIP: 90831 FORMER COMPANY: FORMER CONFORMED NAME: Agilon Health Topco, Inc. DATE OF NAME CHANGE: 20201103 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-04-14 0 0001831097 agilon health, inc. AGL 0001624514 CD&R Investment Associates IX, Ltd. C/O CLAYTON, DUBILIER & RICE, LLC 375 PARK AVENUE NEW YORK NY 10152 0 0 1 0 0001852347 CD&R Vector Holdings, L.P. C/O CLAYTON, DUBILIER & RICE, LLC 375 PARK AVENUE NEW YORK NY 10152 0 0 1 0 Common stock 224718177 I By affiliate CD&R Vector Holdings, L.P. ("CD&R Stockholder") directly owns 224,718,177 shares of the Issuer's Common Stock. CD&R Investment Associates IX, Ltd., as the general partner of CD&R Stockholder, may be deemed to beneficially own the shares of Common Stock held by CD&R Stockholder. CD&R Investment Associates IX, Ltd. expressly disclaims beneficial ownership of the shares of Common Stock held by CD&R Stockholder, except to the extent of its pecuniary interest therein. CD&R Investment Associates IX, Ltd.; by Rima Simson, Vice President, Treasurer & Secretary 2021-04-14 CD&R Vector Holdings, L.P; by CD&R Investment Associates IX, Ltd., general partner; by Rima Simson, Vice President, Treasurer & Secretary 2021-04-14