0001628280-23-000457.txt : 20230105
0001628280-23-000457.hdr.sgml : 20230105
20230105161903
ACCESSION NUMBER: 0001628280-23-000457
CONFORMED SUBMISSION TYPE: 3/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221128
FILED AS OF DATE: 20230105
DATE AS OF CHANGE: 20230105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Loengard Anna U
CENTRAL INDEX KEY: 0001952723
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39252
FILM NUMBER: 23511567
MAIL ADDRESS:
STREET 1: C/O CLOVER HEALTH INVESTMENTS, CORP.
STREET 2: 3401 MALLORY LANE, SUITE 210
CITY: FRANKLIN
STATE: TN
ZIP: 37067
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
3/A
1
wf-form3a_167295352079927.xml
FORM 3/A
X0206
3/A
2022-11-28
2022-11-30
0
0001801170
CLOVER HEALTH INVESTMENTS, CORP. /DE
CLOV
0001952723
Loengard Anna U
C/O CLOVER HEALTH INVESTMENTS, CORP.
3401 MALLORY LANE, SUITE 210
FRANKLIN
TN
37067
1
0
0
0
Class A Common Stock
6000
D
Class A Common Stock
800
I
By Son in a Custodial Account
Class A Common Stock
1000
I
By Daughter in a Custodial Account
This Form 3, originally filed on November 30, 2022, amends the original filing to include shares which were previously inadvertently omitted from the Form 3 filing and one subsequent Form 4 filing.
/s/ Jessica Kirkland, as Attorney-in-Fact
2023-01-05