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