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