0000950103-22-009034.txt : 20220523 0000950103-22-009034.hdr.sgml : 20220523 20220523193128 ACCESSION NUMBER: 0000950103-22-009034 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220519 FILED AS OF DATE: 20220523 DATE AS OF CHANGE: 20220523 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: 22953464 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 dp173669_4-peterson.xml FORM 4 X0306 4 2022-05-19 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 2022-05-19 4 A 0 14672 0 A 14672 D Represents a grant of restricted stock units on May 19, 2022 that will vest on the first anniversary of the grant date. The reporting person has assigned to New Mountain Capital, LLC all the rights, title and interest in the restricted stock units and disclaims beneficial ownership of the restricted stock units. /s/ Adam McAnaney as Attorney-in-Fact for Kyle B. Peterson 2022-05-23