0001759655-24-000108.txt : 20240613
0001759655-24-000108.hdr.sgml : 20240613
20240613160522
ACCESSION NUMBER: 0001759655-24-000108
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240611
FILED AS OF DATE: 20240613
DATE AS OF CHANGE: 20240613
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Boehler Adam
CENTRAL INDEX KEY: 0001982325
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40365
FILM NUMBER: 241041220
MAIL ADDRESS:
STREET 1: 1215 5TH AVE N,
CITY: NASHVILLE
STATE: TN
ZIP: 37208
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_1718309106.xml
FORM 4
X0508
4
2024-06-11
0
0001759655
Privia Health Group, Inc.
PRVA
0001982325
Boehler Adam
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
2024-06-11
4
P
0
364
16.50
A
5773522
I
See footnote
Represents shares held or acquired by Puma Growth Holdings, LLC (Puma). Rubicon Founders OP GP, LP, of which the Reporting Person is the controlling General Partner, is the manager of Puma. The Reporting Person disclaims beneficial ownership of such shares, except to the extent of his indirect pecuniary interest therein, if any.
/s/ Anita Beth Adams, as attorney-in-fact
2024-06-13