0001209191-22-041781.txt : 20220711 0001209191-22-041781.hdr.sgml : 20220711 20220711163052 ACCESSION NUMBER: 0001209191-22-041781 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220707 FILED AS OF DATE: 20220711 DATE AS OF CHANGE: 20220711 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: de Solo Carlos A. CENTRAL INDEX KEY: 0001866090 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39391 FILM NUMBER: 221077248 MAIL ADDRESS: STREET 1: 1000 NW 57 CT. STREET 2: SUITE 400 CITY: MIAMI STATE: FL ZIP: 33126 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CareMax, Inc. CENTRAL INDEX KEY: 0001813914 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-NURSING & PERSONAL CARE FACILITIES [8050] IRS NUMBER: 850992224 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1000 NW 57 COURT, SUITE 400 CITY: MIAMI STATE: FL ZIP: 33126 BUSINESS PHONE: 786-360-4768 MAIL ADDRESS: STREET 1: 1000 NW 57 COURT, SUITE 400 CITY: MIAMI STATE: FL ZIP: 33126 FORMER COMPANY: FORMER CONFORMED NAME: Deerfield Healthcare Technology Acquisitions Corp. DATE OF NAME CHANGE: 20200602 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-07-07 0 0001813914 CareMax, Inc. CMAX 0001866090 de Solo Carlos A. C/O CAREMAX, INC. 1000 NW 57 COURT SUITE 400 MIAMI FL 33126 1 1 0 0 President and CEO Class A Common Stock 2022-07-07 4 J 0 16000 D 6400926 I O.M Investment Group, LLC The reported securities were held in escrow and subject to forfeiture in connection with post-closing adjustment obligations of CareMax Medical Group, L.L.C. pursuant to that Business Combination Agreement, dated December 18, 2020, and were forfeited to the issuer for cancellation in accordance with such adjustment obligations. The reported securities are held by O.M. Investment Group, LLC ("O.M."). Mr. de Solo beneficially owns the reported securities held by O.M. By: /s/ Meredith Longsworth, Esq., as attorney-in-fact for Carlos A. de Solo 2022-07-11