0001104659-22-092247.txt : 20220817
0001104659-22-092247.hdr.sgml : 20220817
20220817171629
ACCESSION NUMBER: 0001104659-22-092247
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220815
FILED AS OF DATE: 20220817
DATE AS OF CHANGE: 20220817
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Feifer Richard
CENTRAL INDEX KEY: 0001814811
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40159
FILM NUMBER: 221175243
MAIL ADDRESS:
STREET 1: C/O GENESIS HEALTHCARE, INC.
STREET 2: 101 EAST STATE STREET
CITY: KENNETT SQUARE
STATE: PA
ZIP: 19348
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: InnovAge Holding Corp.
CENTRAL INDEX KEY: 0001834376
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000]
IRS NUMBER: 810710819
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: 8950 E. LOWRY BOULEVARD
CITY: DENVER
STATE: CO
ZIP: 80230
BUSINESS PHONE: (303) 869-4664
MAIL ADDRESS:
STREET 1: 8950 E. LOWRY BOULEVARD
CITY: DENVER
STATE: CO
ZIP: 80230
FORMER COMPANY:
FORMER CONFORMED NAME: TCO GROUP HOLDINGS, INC.
DATE OF NAME CHANGE: 20201201
4
1
tm2223505-2_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-08-15
0
0001834376
InnovAge Holding Corp.
INNV
0001814811
Feifer Richard
8950 E. LOWRY BOULEVARD
DENVER
CO
80230
0
1
0
0
CHIEF MEDICAL OFFICER
Common Stock, $0.001 par value
2022-08-15
4
A
0
92593
0
A
92593
D
Represents Restricted Stock Units ("RSUs") which will be settled in shares of common stock of the Issuer and will vest in three equal annual installments starting on August 15, 2022, subject to the Reporting Person's continued service with the Issuer.
/s/ Barbara Gutierrez, by power of attorney
2022-08-17