0000895345-23-000254.txt : 20230426
0000895345-23-000254.hdr.sgml : 20230426
20230426215606
ACCESSION NUMBER: 0000895345-23-000254
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230314
FILED AS OF DATE: 20230426
DATE AS OF CHANGE: 20230426
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Martin Joseph Richards
CENTRAL INDEX KEY: 0001776869
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39252
FILM NUMBER: 23851541
MAIL ADDRESS:
STREET 1: C/O LOUISIANA-PACIFIC CORPORATION
STREET 2: 414 UNION STREET, SUITE 2000
CITY: NASHVILLE
STATE: TN
ZIP: 37219
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CLOVER HEALTH INVESTMENTS, CORP. /DE
CENTRAL INDEX KEY: 0001801170
STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324]
IRS NUMBER: 981515192
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3401 MALLORY LANE, SUITE 210
CITY: FRANKLIN
STATE: TN
ZIP: 37067
BUSINESS PHONE: (201) 432-2133
MAIL ADDRESS:
STREET 1: 3401 MALLORY LANE, SUITE 210
CITY: FRANKLIN
STATE: TN
ZIP: 37067
FORMER COMPANY:
FORMER CONFORMED NAME: CLOVER HEALTH INVESTMENTS, CORP.
DATE OF NAME CHANGE: 20210107
FORMER COMPANY:
FORMER CONFORMED NAME: Social Capital Hedosophia Holdings Corp. III
DATE OF NAME CHANGE: 20200124
4
1
form4.xml
X0407
4
2023-03-14
0001801170
CLOVER HEALTH INVESTMENTS, CORP. /DE
CLOV
0001776869
Martin Joseph Richards
C/O LOUISIANA-PACIFIC CORPORATION
3401 LORY LANE, SUITE 210
FRANKLIN
TN
37067
true
General Counsel
false
Class A Common Stock
2023-03-14
4
F
0
283091
0.93
D
2817684
D
Represents shares of the Issuer's Class A Common Stock that were automatically withheld by the Issuer to cover the Reporting Person's tax obligations upon the vesting, on March 14, 2023, of 25% of the original number of time-based restricted stock units ("RSUs") granted to the Reporting Person on March 14, 2022, and timely reported on a Form 4 filed on March 15, 2022. The remaining RSUs vest in twelve equal quarterly installments beginning on the date that is three months after March 14, 2023, in each case subject to the continued service of the Reporting Person on each such vesting date.
/s/ Joseph R. Martin
2023-04-26