0001209191-22-025020.txt : 20220420
0001209191-22-025020.hdr.sgml : 20220420
20220420165834
ACCESSION NUMBER: 0001209191-22-025020
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220414
FILED AS OF DATE: 20220420
DATE AS OF CHANGE: 20220420
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Shaker Benjamin
CENTRAL INDEX KEY: 0001855843
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40332
FILM NUMBER: 22838776
MAIL ADDRESS:
STREET 1: C/O AGILON HEALTH, INC.
STREET 2: 6210 E HWY 290, SUITE 450
CITY: AUSTIN
STATE: TX
ZIP: 78723
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: 6210 E HWY 290
STREET 2: SUITE 450
CITY: AUSTIN
STATE: TX
ZIP: 78723
BUSINESS PHONE: 562-256-3800
MAIL ADDRESS:
STREET 1: 6210 E HWY 290
STREET 2: SUITE 450
CITY: AUSTIN
STATE: TX
ZIP: 78723
FORMER COMPANY:
FORMER CONFORMED NAME: Agilon Health Topco, Inc.
DATE OF NAME CHANGE: 20201103
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-04-14
0
0001831097
agilon health, inc.
AGL
0001855843
Shaker Benjamin
C/O AGILON HEALTH, INC.
6210 E HWY 290, SUITE 450
AUSTIN
TX
78723
0
1
0
0
Chief Markets Officer
Common Stock
2022-04-14
4
A
0
13546
0.00
A
77456
D
Options (Rights to Buy)
23.07
2022-04-14
4
A
0
44580
0.00
A
2032-04-14
Common Stock
44580
44580
D
Restricted stock units that vest in four equal installments on each anniversary of April 14, 2022, subject to continued employment.
Includes restricted stock units.
Options that vest in four equal installments on each anniversary of April 14, 2022, subject to continued employment.
/s/ Lyn Amor Macaraeg, as Attorney-in-Fact
2022-04-20