0000899243-23-018009.txt : 20230811
0000899243-23-018009.hdr.sgml : 20230811
20230811091506
ACCESSION NUMBER: 0000899243-23-018009
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230810
FILED AS OF DATE: 20230811
DATE AS OF CHANGE: 20230811
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lundberg Theodore B.
CENTRAL INDEX KEY: 0001628260
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38399
FILM NUMBER: 231161791
MAIL ADDRESS:
STREET 1: C/O ADAPTHEALTH CORP.
STREET 2: 220 W. GERMANTOWN PIKE, SUITE 250
CITY: PLYMOUTH MEETING
STATE: PA
ZIP: 19462
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AdaptHealth Corp.
CENTRAL INDEX KEY: 0001725255
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082]
IRS NUMBER: 823677704
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 220 WEST GERMANTOWN PIKE
STREET 2: SUITE 250
CITY: PLYMOUTH MEETING
STATE: PA
ZIP: 19462
BUSINESS PHONE: 610-630-6357
MAIL ADDRESS:
STREET 1: 220 WEST GERMANTOWN PIKE
STREET 2: SUITE 250
CITY: PLYMOUTH MEETING
STATE: PA
ZIP: 19462
FORMER COMPANY:
FORMER CONFORMED NAME: DFB Healthcare Acquisitions Corp.
DATE OF NAME CHANGE: 20171213
4
1
doc4.xml
FORM 4 SUBMISSION
X0508
4
2023-08-10
0
0001725255
AdaptHealth Corp.
AHCO
0001628260
Lundberg Theodore B.
C/O ADAPTHEALTH CORP.
220 WEST GERMANTOWN PIKE, SUITE 250
PLYMOUTH MEETING
PA
19462
1
0
0
0
0
Common Stock
2023-08-10
4
J
0
2220278
D
2220277
I
By Peloton Equity AeroCare SPV I, L.P.
Common Stock
2023-08-10
4
J
0
211449
D
211449
I
By Peloton Equity AeroCare SPV II, L.P.
Common Stock
2023-08-10
4
J
0
714054
D
714055
I
By Peloton Equity I, L.P.
Common Stock
1351664
I
By Peloton Equity GP, LLC
Common Stock
29779
D
On August 10, 2023, each of Peloton AeroCare SPV I, L.P. ("Peloton AeroCare I"), Peloton AeroCare SPV II, L.P. ("Peloton AeroCare II") and Peloton Equity I, L.P. ("Peloton Equity I") distributed to their limited partners, pro rata and without consideration, 2,220,278 shares, 211,449 shares and 714,054 shares, respectively, of Common Stock. The aforementioned distributions were made in accordance with the exemptions afforded under Rule 16a-9(a) and Rule 16a-13 of the Securities Exchange Act of 1934, as amended (the "Exchange Act").
Number of securities reported reflects the correction of a typographical error in previous Section 16 reports filed by the Reporting Person, which unintentionally overreported the number of shares of Common Stock held by Peloton AeroCare I by 20,000 shares.
Shares held by Peloton AeroCare I. Peloton Equity GP, LLC ("Peloton Equity GP") is the general partner of Peloton AeroCare I. The Reporting Person is a managing member of Peloton Equity GP, and disclaims beneficial ownership of the shares held by Peloton AeroCare I except to the extent of his pecuniary interest therein, if any.
Shares held by Peloton AeroCare II. Peloton Equity GP is the general partner of Peloton AeroCare II. The Reporting Person is a managing member of Peloton Equity GP, and disclaims beneficial ownership of the shares held by Peloton AeroCare II except to the extent of his pecuniary interest therein, if any.
Shares held by Peloton Equity I. Peloton Equity GP is the general partner of Peloton Equity I. The Reporting Person is a managing member of Peloton Equity GP, and disclaims beneficial ownership of the shares held by Peloton Equity I except to the extent of his pecuniary interest therein, if any.
Shares held by Peloton Equity GP. Includes 675,832 shares of Common Stock received in the distributions described herein made in accordance with the exemptions afforded under Rule 16a-9(a) and Rule 16a-13 of the Exchange Act. The Reporting Person is a managing member of Peloton Equity GP, and disclaims beneficial ownership of the shares held by Peloton Equity GP except to the extent of his pecuniary interest therein, if any.
/s/ Theodore B. Lundberg
2023-08-11