0001209191-21-056208.txt : 20210915
0001209191-21-056208.hdr.sgml : 20210915
20210915172208
ACCESSION NUMBER: 0001209191-21-056208
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: Wulf John William
CENTRAL INDEX KEY: 0001856345
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40332
FILM NUMBER: 211256126
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
0001856345
Wulf John William
C/O AGILON HEALTH, INC.
1 WORLD TRADE CENTER, SUITE 2000
LONG BEACH
CA
90831
1
0
0
0
Common Stock
2021-09-14
4
S
0
15342
28.98
D
147264
D
Includes restricted stock units.
On April 19, 2021, the reporting person received a distribution of 35,035 shares of the Issuer's common stock from COPC Practice Management, LLC, of which he continues to hold 19,708 shares after the transaction noted above.
/s/ Lyn Amor Macaraeg, as Attorney-in-Fact
2021-09-15