0001209191-23-011763.txt : 20230222
0001209191-23-011763.hdr.sgml : 20230222
20230222172006
ACCESSION NUMBER: 0001209191-23-011763
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230217
FILED AS OF DATE: 20230222
DATE AS OF CHANGE: 20230222
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MCKENZIE DIANA
CENTRAL INDEX KEY: 0001754648
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40332
FILM NUMBER: 23654648
MAIL ADDRESS:
STREET 1: METLIFE
STREET 2: 200 PARK AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10166
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: 6210 E HWY 290
STREET 2: SUITE 450
CITY: AUSTIN
STATE: TX
ZIP: 78723
BUSINESS PHONE: 562-256-3800
MAIL ADDRESS:
STREET 1: 6210 E HWY 290
STREET 2: SUITE 450
CITY: AUSTIN
STATE: TX
ZIP: 78723
FORMER COMPANY:
FORMER CONFORMED NAME: Agilon Health Topco, Inc.
DATE OF NAME CHANGE: 20201103
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2023-02-17
0
0001831097
agilon health, inc.
AGL
0001754648
MCKENZIE DIANA
C/O AGILON HEALTH, INC., 6210 E HWY 290,
AUSTIN
TX
78723
1
0
0
0
Common Stock
2023-02-17
4
A
0
1078
0.00
A
1078
D
Options (Rights to Buy)
22.79
2023-02-17
4
A
0
11104
0.00
A
2033-02-17
Common Stock
11104
11104
D
Restricted stock units that vest in full on February 17, 2024, subject to continued service as a director.
Options that vest in three equal installments on each anniversary of February 17, 2023, subject to continued service as a director.
/s/ Timothy Bensley, as Attorney-in-Fact
2023-02-22