Amended Statement of Changes in Beneficial Ownership (4/a)
25 Febrero 2022 - 4:07PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
Laur Thomas |
2. Issuer Name and Ticker or Trading Symbol
Change Healthcare Inc.
[
CHNG
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) See Remarks |
(Last)
(First)
(Middle)
C/O CHANGE HEALTHCARE INC., 424 CHURCH STREET, SUITE 1400 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
8/20/2020 |
(Street)
NASHVILLE, TN 37219
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
12/30/2021 |
6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security (Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. Code (Instr. 8)
|
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
|
5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
|
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
|
7. Nature of Indirect Beneficial Ownership (Instr. 4)
|
Code
|
V
|
Amount
|
(A) or (D)
|
Price
|
Common Stock | 8/20/2020 | | F(1) | | 2541 | D | $12.93 | 148093 | D | |
Common Stock | 6/17/2021 | | F(1) | | 4854 | D | $23.07 | 143239 | D | |
Common Stock | 8/1/2021 | | F(1) | | 3840 | D | $21.71 | 139399 | D | |
Common Stock | 12/28/2021 | | F(1) | | 16610 | D | $21.44 | 122789 (2) | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | Represents a previously unreported withholding of shares in connection with previous vesting of RSUs. Reflects securities beneficially owned following the reported transaction as of the date of filing. |
(2) | The Form 4 filed on December 30, 2021, is being amended to remove the transaction reporting the acquisition of certain underlying RSUs, as such shares had already previously been reported at the time of grant of the RSUs and to correct the amount of securities beneficially owned following the reported transaction. The amount of securities beneficially owned following the reported transaction reflects the current balance as of the filing date. |
Remarks: Exhibit List: Exhibit 24 - Power of Attorney Title: EVP, and President, Technology Enabled Services |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Laur Thomas C/O CHANGE HEALTHCARE INC. 424 CHURCH STREET, SUITE 1400 NASHVILLE, TN 37219 |
|
| See Remarks |
|
Signatures
|
/s/ Robert Zachary Beasley, as Attorney-in-Fact | | 2/25/2022 |
**Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
Change Healthcare (NASDAQ:CHNG)
Gráfica de Acción Histórica
De Ago 2024 a Sep 2024
Change Healthcare (NASDAQ:CHNG)
Gráfica de Acción Histórica
De Sep 2023 a Sep 2024
Real-Time news about Change Healthcare Inc (NASDAQ): 0 recent articles
Más de Change Healthcare Inc. Artículos de Noticias