0001759655-24-000088.txt : 20240523
0001759655-24-000088.hdr.sgml : 20240523
20240523170333
ACCESSION NUMBER: 0001759655-24-000088
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240522
FILED AS OF DATE: 20240523
DATE AS OF CHANGE: 20240523
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sullivan William M
CENTRAL INDEX KEY: 0001859839
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40365
FILM NUMBER: 24979487
MAIL ADDRESS:
STREET 1: ONE PENN PLAZA, SUITE 5300
CITY: NY
STATE: NY
ZIP: 10119
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Privia Health Group, Inc.
CENTRAL INDEX KEY: 0001759655
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 950 N. GLEBE RD., SUITE 700
CITY: ARLINGTON
STATE: VA
ZIP: 22203
BUSINESS PHONE: 571-366-8850
MAIL ADDRESS:
STREET 1: 950 N. GLEBE RD., SUITE 700
CITY: ARLINGTON
STATE: VA
ZIP: 22203
FORMER COMPANY:
FORMER CONFORMED NAME: PH Group Parent Corp.
DATE OF NAME CHANGE: 20181120
4
1
wk-form4_1716498196.xml
FORM 4
X0508
4
2024-05-22
0
0001759655
Privia Health Group, Inc.
PRVA
0001859839
Sullivan William M
PRIVIA HEALTH GROUP, INC.
950 N. GLEBE RD., SUITE 700.
ARLINGTON
VA
22203
1
0
0
0
0
Common Stock, $0.01 par value per share
2024-05-22
4
A
0
11124
0
A
33916
D
Common Stock, $0.01 par value per share
5445018
I
By Brighton Family, LLC
On May 22, 2024, the reporting person received 11,124 restricted stock units under the Issuer's 2021 Omnibus Incentive Plan. The restricted stock units will vest on the earlier of (i) the day immediately preceding the Company's 2025 annual meeting of stockholders and (ii) the first anniversary of the date of the grant.
/s/ Anita Beth Adams, as attorney-in-fact
2024-05-23