0001959173-24-006386.txt : 20240910 0001959173-24-006386.hdr.sgml : 20240910 20240910163256 ACCESSION NUMBER: 0001959173-24-006386 CONFORMED SUBMISSION TYPE: 144 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20240910 DATE AS OF CHANGE: 20240910 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: 144 SEC ACT: 1933 Act SEC FILE NUMBER: 001-40365 FILM NUMBER: 241290459 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 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: Mehrotra Parth CENTRAL INDEX KEY: 0001858398 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 144 MAIL ADDRESS: STREET 1: 950 N. GLEBE RD. STREET 2: SUITE 700 CITY: ARLINGTON STATE: VA ZIP: 22203 144 1 primary_doc.xml 144 0001858398 XXXXXXXX LIVE 0001759655 Privia Health Group, Inc. 001-40365 950 N. GLEBE RD., SUITE 700 ARLINGTON VA 22203 571-366-8850 Mehrotra Parth Officer Director Common Fidelity Brokerage Services LLC
900 Salem Street Smithfield RI 02917
135142 2500718.94 119564972 09/10/2024 NASDAQ
Common 09/10/2024 Option Granted- 08/28/2018 Issuer N 56027 09/10/2024 Cash Common 09/10/2024 Option Granted- 12/04/2019 Issuer N 60520 09/10/2024 Cash Common 09/10/2024 Option Granted- 09/08/2020 Issuer N 18595 09/10/2024 Cash Y 09/10/2024 06/11/2024 /s/ Gerardo Ibarra-Munoz, as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Parth Mehrotra