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