0000950103-21-002270.txt : 20210212
0000950103-21-002270.hdr.sgml : 20210212
20210212164746
ACCESSION NUMBER: 0000950103-21-002270
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210210
FILED AS OF DATE: 20210212
DATE AS OF CHANGE: 20210212
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Boumenot Peter
CENTRAL INDEX KEY: 0001842977
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40028
FILM NUMBER: 21628747
MAIL ADDRESS:
STREET 1: 800 CONNECTICUT AVENUE
CITY: NORWALK
STATE: CT
ZIP: 06854
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Signify Health, Inc.
CENTRAL INDEX KEY: 0001828182
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 800 CONNECTICUT AVENUE
CITY: NORWALK
STATE: CT
ZIP: 06854
BUSINESS PHONE: (203) 541-4600
MAIL ADDRESS:
STREET 1: 800 CONNECTICUT AVENUE
CITY: NORWALK
STATE: CT
ZIP: 06854
4
1
dp145996_4-boumenot.xml
FORM 4
X0306
4
2021-02-10
0
0001828182
Signify Health, Inc.
SGFY
0001842977
Boumenot Peter
C/O SIGNIFY HEALTH, INC.
800 CONNECTICUT AVENUE
NORWALK
CT
06854
0
1
0
0
Chief Product Officer
Employee Stock Options (right to buy)
24.00
2021-02-10
4
A
0
200000
0
A
2031-02-10
Class A Common Stock
200000
200000
D
The options vest in equal annual installments on each of the first three anniversaries of the February 10, 2021 grant date.
/s/ Adam McAnaney as Attorney-in-Fact for Peter Boumenot
2021-02-12