0000950103-22-002875.txt : 20220218 0000950103-22-002875.hdr.sgml : 20220218 20220218181153 ACCESSION NUMBER: 0000950103-22-002875 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220216 FILED AS OF DATE: 20220218 DATE AS OF CHANGE: 20220218 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Peterson Kyle B. CENTRAL INDEX KEY: 0001842579 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40028 FILM NUMBER: 22654304 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 dp167455_4-peterson.xml FORM 4 X0306 4 2022-02-16 0 0001828182 Signify Health, Inc. SGFY 0001842579 Peterson Kyle B. C/O SIGNIFY HEALTH, INC. 800 CONNECTICUT AVENUE NORWALK CT 06854 1 0 0 0 Class A Common Stock 2022-02-16 4 J 0 7916 0 D 0 D Represents the assignment of shares of Class A Common Stock acquired upon vesting of restricted stock units to New Mountain Capital, LLC ("New Mountain") pursuant to an assignment agreement between the reporting person and New Mountain. The reporting person disclaims beneficial ownership of the restricted stock units and the underlying shares of Class A Common Stock. /s/ Adam McAnaney as Attorney-in-Fact for Kyle B. Peterson 2022-02-18