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