0000950103-21-002443.txt : 20210217
0000950103-21-002443.hdr.sgml : 20210217
20210217200029
ACCESSION NUMBER: 0000950103-21-002443
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210216
FILED AS OF DATE: 20210217
DATE AS OF CHANGE: 20210217
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Holt Matthew S.
CENTRAL INDEX KEY: 0001631836
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40028
FILM NUMBER: 21647109
MAIL ADDRESS:
STREET 1: C/O NEW MOUNTAIN CAPITAL, LLC
STREET 2: 787 SEVENTH AVENUE, 49TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10019
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Signify Health, Inc.
CENTRAL INDEX KEY: 0001828182
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 800 CONNECTICUT AVENUE
CITY: NORWALK
STATE: CT
ZIP: 06854
BUSINESS PHONE: (203) 541-4600
MAIL ADDRESS:
STREET 1: 800 CONNECTICUT AVENUE
CITY: NORWALK
STATE: CT
ZIP: 06854
4
1
dp146246_4-holt.xml
X0306
4
2021-02-16
0
0001828182
Signify Health, Inc.
SGFY
0001631836
Holt Matthew S.
C/O SIGNIFY HEALTH, INC.
800 CONNECTICUT AVENUE
NORWALK
CT
06854
1
0
0
0
Class A Common Stock
2021-02-16
4
A
0
7916
0
A
7916
D
Represents a grant of restricted stock units on February 16, 2021 that will vest on the first anniversary of the grant date.
The reporting person has assigned to New Mountain Capital, LLC all the rights, title and interest in the restricted stock units and disclaims beneficial ownership of the restricted stock units.
/s/ Adam McAnaney as Attorney-in-Fact for Matthew S. Holt
2021-02-17