Neil E. de Crescenzo - 20 Aug 2020 Form 4/A - Amendment Insider Report for Change Healthcare Inc.

Role
President & CEO, Director
Signature
/s/ Robert Zachary Beasley, as Attorney-in-Fact
Issuer symbol
N/A
Transactions as of
20 Aug 2020
Net transactions value
-$5,476,551
Form type
4/A - Amendment
Filing time
25 Feb 2022, 15:39:05 UTC
Date Of Original Report
30 Dec 2021
Next filing
24 Jun 2021
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction CHNG Common Stock Options Exercise +49,775 +5.5% 952,410 20 Aug 2020 Direct F1, F2
transaction CHNG Common Stock Disposed to Issuer $643,591 -49,775 -5.2% $12.93 902,635 20 Aug 2020 Direct
transaction CHNG Common Stock Options Exercise +65,847 +7.3% 968,482 17 Jun 2021 Direct F1
transaction CHNG Common Stock Disposed to Issuer $1,519,090 -65,847 -6.8% $23.07 902,635 17 Jun 2021 Direct
transaction CHNG Common Stock Options Exercise +49,775 +5.5% 952,410 01 Aug 2021 Direct F1
transaction CHNG Common Stock Disposed to Issuer $1,080,615 -49,775 -5.2% $21.71 902,635 01 Aug 2021 Direct
transaction CHNG Common Stock Options Exercise +49,774 +5.5% 952,409 28 Dec 2021 Direct F1
transaction CHNG Common Stock Disposed to Issuer $1,067,155 -49,774 -5.2% $21.44 902,635 28 Dec 2021 Direct
transaction CHNG Common Stock Tax liability $1,166,100 -54,389 -6% $21.44 848,246 28 Dec 2021 Direct F1, F4

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction CHNG Cash-Settled Restricted Stock Units Options Exercise $0 -49,774 -33% $0.000000 99,549 20 Aug 2020 Common Stock 49,774 Direct F1, F2
transaction CHNG Cash-Settled Restricted Stock Units Options Exercise $0 -65,847 -100% $0.000000* 0 17 Jun 2021 Common Stock 65,847 Direct F1, F3
transaction CHNG Cash-Settled Restricted Stock Units Options Exercise $0 -49,775 -50% $0.000000 49,774 01 Aug 2021 Common Stock 49,775 Direct F1, F2
transaction CHNG Cash-Settled Restricted Stock Units Options Exercise $0 -49,774 -100% $0.000000* 0 28 Dec 2021 Common Stock 49,774 Direct F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each cash-settled restricted stock unit represents the contingent right to receive the cash value of one share of the Company's Common Stock upon vesting
F2 Pursuant to a grant on August 20, 2019, whereby (a) one-third will vest on each of August 1, 2021 and 2022; and (b) one-third will vest on August 1, 2021, unless a Qualified MCK Exit (as defined in the LLC Agreement of Change Healthcare LLC) has occurred prior to the second anniversary of the Company's initial public offering, in which case such one-third of the cash-settled restricted stock units will instead vest on the later of (x) August 20, 2020 and (y) the date that is 30 days after a Qualified MCK Exit.
F3 Pursuant to a grant on June 17, 2020, these cash-settled restricted stock units vested in full on June 17, 2021.
F4 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 number of shares withheld from the shares deliverable upon vesting of the RSUs to satisfy tax withholding requirements, as well as 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