0000899243-19-022321.txt : 20190822
0000899243-19-022321.hdr.sgml : 20190822
20190822172712
ACCESSION NUMBER: 0000899243-19-022321
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190820
FILED AS OF DATE: 20190822
DATE AS OF CHANGE: 20190822
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: De Crescenzo Neil E.
CENTRAL INDEX KEY: 0001778464
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38961
FILM NUMBER: 191046718
MAIL ADDRESS:
STREET 1: C/O CHANGE HEALTHCARE INC.
STREET 2: 3055 LEBANON PIKE, SUITE 1000
CITY: NASHVILLE
STATE: TN
ZIP: 37214
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Change Healthcare Inc.
CENTRAL INDEX KEY: 0001756497
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374]
IRS NUMBER: 822152098
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0331
BUSINESS ADDRESS:
STREET 1: 3055 LEBANON PIKE, SUITE 1000
CITY: NASHVILLE
STATE: TN
ZIP: 37214
BUSINESS PHONE: 615-932-3000
MAIL ADDRESS:
STREET 1: 3055 LEBANON PIKE, SUITE 1000
CITY: NASHVILLE
STATE: TN
ZIP: 37214
FORMER COMPANY:
FORMER CONFORMED NAME: HCIT Holdings, Inc.
DATE OF NAME CHANGE: 20181019
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-08-20
0
0001756497
Change Healthcare Inc.
CHNG
0001778464
De Crescenzo Neil E.
C/O CHANGE HEALTHCARE INC.,
3055 LEBANON PIKE, SUITE 1000
NASHVILLE
TN
37214
1
1
0
0
President & CEO
Common Stock
2019-08-20
4
A
0
49774
0.00
A
248646
D
Cash-Settled Restricted Stock Units
2019-08-20
4
A
0
149324
0.00
A
Common Stock
149324
149324
D
Represents a grant of restricted stock units, which will vest in full on August 1, 2023.
Each cash-settled restricted stock unit represents the contingent right to receive the cash value of one share of the Company's Common Stock upon vesting.
These cash-settled restricted stock units vest as follows: (a) one-third will vest on each of August 1, 2021 and 2022; and (b) one-third will vest on August 1, 2021, unless a Qualified MCK Exit (as defined in the LLC Agreement of Change Healthcare LLC) has occurred prior to the second anniversary of the Company's initial public offering, in which case such one-third of the cash-settled restricted stock units will instead vest on the later of (x) August 20, 2020 and (y) the date that is 30 days after a Qualified MCK Exit.
/s/ Loretta Cecil, as Attorney-in-Fact
2019-08-22