0001209191-22-025024.txt : 20220420 0001209191-22-025024.hdr.sgml : 20220420 20220420170000 ACCESSION NUMBER: 0001209191-22-025024 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: Venkatachaliah Girish CENTRAL INDEX KEY: 0001855795 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40332 FILM NUMBER: 22838796 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 0001855795 Venkatachaliah Girish C/O AGILON HEALTH, INC. 6210 E HWY 290, SUITE 450 AUSTIN TX 78723 0 1 0 0 Chief Technology Officer Common Stock 2022-04-14 4 A 0 10837 0.00 A 16271 D Options (Rights to Buy) 23.07 2022-04-14 4 A 0 35664 0.00 A 2032-04-14 Common Stock 35664 35664 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