0001104659-23-071250.txt : 20230614
0001104659-23-071250.hdr.sgml : 20230614
20230614165222
ACCESSION NUMBER: 0001104659-23-071250
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230606
FILED AS OF DATE: 20230614
DATE AS OF CHANGE: 20230614
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: 231014771
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
tm2318745-2_4seq1.xml
OWNERSHIP DOCUMENT
X0407
4
2023-06-06
0
0001834376
InnovAge Holding Corp.
INNV
0001814811
Feifer Richard
8950 E. LOWRY BOULEVARD
DENVER
CO
80230
0
1
0
0
CHIEF MEDICAL OFFICER
0
Common Stock, $0.001 par value
2023-06-06
4
A
0
52152
0
A
144745
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 on the anniversary of the grant date, subject to the Reporting Person's continued service with the Issuer.
/s/ Nicole D'Amato, by Power of Attorney
2023-06-14