0000950103-22-004326.txt : 20220309 0000950103-22-004326.hdr.sgml : 20220309 20220309175425 ACCESSION NUMBER: 0000950103-22-004326 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210216 FILED AS OF DATE: 20220309 DATE AS OF CHANGE: 20220309 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Douty Laurel CENTRAL INDEX KEY: 0001842574 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40028 FILM NUMBER: 22726602 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 dp168888_4-douty.xml FORM 4 X0306 4 2021-02-16 0 0001828182 Signify Health, Inc. SGFY 0001842574 Douty Laurel C/O SIGNIFY HEALTH, INC. 800 CONNECTICUT AVENUE NORWALK CT 06854 0 1 0 0 EVP, Clinic. Ops, Care Srvces Class A Common Stock 2021-02-16 4 P 0 10000 24 A 10000 D Class A Common Stock 2022-03-07 4 A 0 44046 0 A 54046 D Employee Stock Option (Right to Buy) 14.19 2022-03-07 4 A 0 132138 0 A 2032-03-07 Class A Common Stock 132138 132138 D These securities were purchased through the Issuer's directed share program in connection with its initial public offering. Represents a grant of restricted stock units on March 7, 2022 that will vest in equal annual installments on each of the first four anniversaries of the grant date. These options vest in equal annual installments on each of the first four anniversaries of the March 7, 2022 grant date. /s/ Adam McAnaney, as Attorney-in-Fact for Laurel Douty 2022-03-09