0001209191-21-056202.txt : 20210915
0001209191-21-056202.hdr.sgml : 20210915
20210915171918
ACCESSION NUMBER: 0001209191-21-056202
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210914
FILED AS OF DATE: 20210915
DATE AS OF CHANGE: 20210915
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Halkias Theodore
CENTRAL INDEX KEY: 0001855972
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40332
FILM NUMBER: 211256100
MAIL ADDRESS:
STREET 1: C/O AGILON HEALTH, INC.
STREET 2: 1 WORLD TRADE CENTER, SUITE 2000
CITY: LONG BEACH
STATE: CA
ZIP: 90831
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: agilon health, inc.
CENTRAL INDEX KEY: 0001831097
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090]
IRS NUMBER: 371915147
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1 WORLD TRADE CENTER
STREET 2: SUITE 2000
CITY: LONG BEACH
STATE: CA
ZIP: 90831
BUSINESS PHONE: 562-256-3800
MAIL ADDRESS:
STREET 1: 1 WORLD TRADE CENTER
STREET 2: SUITE 2000
CITY: LONG BEACH
STATE: CA
ZIP: 90831
FORMER COMPANY:
FORMER CONFORMED NAME: Agilon Health Topco, Inc.
DATE OF NAME CHANGE: 20201103
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-09-14
0
0001831097
agilon health, inc.
AGL
0001855972
Halkias Theodore
C/O AGILON HEALTH, INC.
1 WORLD TRADE CENTER, SUITE 2000
LONG BEACH
CA
90831
0
1
0
0
Chief Business Officer
Common Stock
2021-09-14
4
M
0
58553
1.00
A
63987
D
Common Stock
2021-09-14
4
S
0
58553
28.98
D
5434
D
Common Stock
2021-09-14
4
S
0
100000
28.98
D
0
I
By trust
Options (Rights to Buy)
1.00
2021-09-14
4
M
0
58553
0.00
D
2027-04-27
Common Stock
58553
1741447
D
Includes restricted stock units.
These shares of common stock were held in the Halkias Irrevocable Trust.
These options were granted on April 27, 2017, and fully vested on May 15, 2017.
/s/ Lyn Amor Macaraeg, as Attorney-in-Fact
2021-09-15