0000950103-21-002271.txt : 20210212 0000950103-21-002271.hdr.sgml : 20210212 20210212164846 ACCESSION NUMBER: 0000950103-21-002271 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: Builder Josh CENTRAL INDEX KEY: 0001842570 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40028 FILM NUMBER: 21628767 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 dp145997_4-builder.xml FORM 4 X0306 4 2021-02-10 0 0001828182 Signify Health, Inc. SGFY 0001842570 Builder Josh C/O SIGNIFY HEALTH, INC. 800 CONNECTICUT AVENUE NORWALK CT 06854 0 1 0 0 Chief Technology Officer Employee Stock Options (right to buy) 24.00 2021-02-10 4 A 0 150000 0 A 2031-02-10 Class A Common Stock 150000 150000 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 Josh Builder 2021-02-12