0000950103-22-004332.txt : 20220309 0000950103-22-004332.hdr.sgml : 20220309 20220309180551 ACCESSION NUMBER: 0000950103-22-004332 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220307 FILED AS OF DATE: 20220309 DATE AS OF CHANGE: 20220309 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: 22726680 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 dp168889_4-boumenot.xml FORM 4 X0306 4 2022-03-07 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 Class A Common Stock 2022-03-07 4 A 0 35237 0 A 35237 D Employee Stock Option (Right to Buy) 14.19 2022-03-07 4 A 0 105711 0 A 2032-03-07 Class A Common Stock 105711 105711 D 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 Peter Boumenot 2022-03-09