0001209191-23-024669.txt : 20230418 0001209191-23-024669.hdr.sgml : 20230418 20230418164655 ACCESSION NUMBER: 0001209191-23-024669 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230414 FILED AS OF DATE: 20230418 DATE AS OF CHANGE: 20230418 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kornitzer Benjamin CENTRAL INDEX KEY: 0001855842 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40332 FILM NUMBER: 23827388 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 X0407 4 2023-04-14 0 0001831097 agilon health, inc. AGL 0001855842 Kornitzer Benjamin C/O AGILON HEALTH, INC. 6210 E HWY 290, SUITE 450 AUSTIN TX 78723 0 1 0 0 Chief Med. & Quality Officer 0 Common Stock 2023-04-14 4 A 0 4393 0.00 A 59819 D Common Stock 2023-04-14 4 F 0 1312 28.46 D 58507 D Options (Rights to Buy) 28.46 2023-04-14 4 A 0 7595 0.00 A 2033-04-14 Common Stock 7595 7595 D Restricted stock units that vest in four equal installments on each anniversary of April 14, 2023, subject to continued employment. Includes restricted stock units. Represents the number of shares of Common Stock that have been withheld by the issuer to satisfy its income tax withholding and remittance obligations in connection with the net settlement of the restricted stock units and does not represent a sale. Options that vest in four equal installments on each anniversary of April 14, 2023, subject to continued employment. /s/ Mimi Yang, as Attorney-in-Fact 2023-04-18