0000950103-21-014161.txt : 20210917
0000950103-21-014161.hdr.sgml : 20210917
20210917162625
ACCESSION NUMBER: 0000950103-21-014161
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210825
FILED AS OF DATE: 20210917
DATE AS OF CHANGE: 20210917
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Goldberg Arnold
CENTRAL INDEX KEY: 0001879184
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40028
FILM NUMBER: 211260724
MAIL ADDRESS:
STREET 1: C/O SIGNIFY HEALTH, INC.
STREET 2: 800 CONNECTICUT AVE
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/A
1
dp158036_4a-goldberg.xml
X0306
4/A
2021-08-25
2021-08-27
0
0001828182
Signify Health, Inc.
SGFY
0001879184
Goldberg Arnold
C/O SIGNIFY HEALTH, INC.
800 CONNECTICUT AVENUE
NORWALK
CT
06854
1
0
0
0
Class A Common Stock
2021-08-25
4
A
0
14504
0
A
14504
D
This Form 4/A is being filed to amend the number of shares of Class A common stock underlying two awards of restricted stock units granted to the reporting person on August 25, 2021 (each with respect to 7,252 shares), which had been misreported due to an administrative error.
/s/ Adam McAnaney as Attorney-in-Fact for Arnold Goldberg
2021-09-17