0001104659-22-124579.txt : 20221205 0001104659-22-124579.hdr.sgml : 20221205 20221205163044 ACCESSION NUMBER: 0001104659-22-124579 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221201 FILED AS OF DATE: 20221205 DATE AS OF CHANGE: 20221205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BLAIR PATRICK T CENTRAL INDEX KEY: 0001896463 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40159 FILM NUMBER: 221445333 MAIL ADDRESS: STREET 1: 8950 E. LOWRY BOULEVARD CITY: DENVER STATE: CO ZIP: 80230 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: InnovAge Holding Corp. CENTRAL INDEX KEY: 0001834376 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000] IRS NUMBER: 810710819 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 8950 E. LOWRY BOULEVARD CITY: DENVER STATE: CO ZIP: 80230 BUSINESS PHONE: (303) 869-4664 MAIL ADDRESS: STREET 1: 8950 E. LOWRY BOULEVARD CITY: DENVER STATE: CO ZIP: 80230 FORMER COMPANY: FORMER CONFORMED NAME: TCO GROUP HOLDINGS, INC. DATE OF NAME CHANGE: 20201201 4 1 tm2231677-1_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2022-12-01 0 0001834376 InnovAge Holding Corp. INNV 0001896463 BLAIR PATRICK T 8950 E. LOWRY BOULEVARD DENVER CO 80230 0 1 0 0 President and CEO Common Stock, $0.001 par value 2022-12-01 4 F 0 20062 7.20 D 423537 D Represents shares withheld to satisfy the Reporting Person's tax obligations in connection with the vesting of restricted stock units on December 1, 2022. /s/ Nicole D'Amato, by Power of Attorney 2022-12-05