Chamath Palihapitiya - Jul 7, 2021 Form 4 Insider Report for CLOVER HEALTH INVESTMENTS, CORP. /DE (CLOV)

Signature
CHAMATH PALIHAPITIYA, By: /s/ Chamath Palihapitiya
Stock symbol
CLOV
Transactions as of
Jul 7, 2021
Transactions value $
$9,999,998
Form type
4
Date filed
11/24/2021, 05:22 PM
Previous filing
Jun 2, 2021
Next filing
Jul 20, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction CLOV Class A Common Stock Other -20.5M -100% 0 Jul 7, 2021 By SCH Sponsor III LLC F1, F2
transaction CLOV Class A Common Stock Options Exercise +2.25M +8.35% 29.2M Aug 16, 2021 By ChaChaCha SPAC C LLC F3, F4, F5
transaction CLOV Class A Common Stock Other $0 -750K -2.57% $0.00 28.4M Aug 20, 2021 By ChaChaCha SPAC C LLC F5, F6
transaction CLOV Class A Common Stock Purchase $10M +1.74M $5.75 1.74M Nov 22, 2021 By SC Ventures Holdings, LLC F7

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 CLOV Warrants Other -10.9M -100% 0 Jul 7, 2021 Class A Common Stock 10.9M $11.50 By SCH Sponsor III LLC F1, F2, F8
transaction CLOV Warrants Options Exercise -9.02M -100% 0 Aug 16, 2021 Class A Common Stock 2.25M By ChaChaCha SPAC C LLC F1, F3, F5, F8, F9
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Chamath Palihapitiya is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may continue.

Explanation of Responses:

Id Content
F1 Reflects a distribution of securities by SCH Sponsor III LLC (the "Sponsor") made to its members on a pro rata basis.
F2 Reflects securities held by the Sponsor. Messrs. Chamath Palihapitiya and Ian Osborne and ChaChaCha SPAC C LLC ("ChaChaCha") may be deemed to beneficially own the Issuer securities held by the Sponsor on the basis of their direct or indirect interests in the Sponsor or their shared control over the Sponsor, as the case may be. Each of Mr. Palihapitiya, Mr. Osborne and ChaChaCha disclaims beneficial ownership of the Issuer securities held by the Sponsor, except to the extent of such person's pecuniary interest therein.
F3 These warrants were exercised in a "Make-Whole Exercise" prior to a redemption of such warrants by the Issuer. Pursuant to the terms of the warrants relating to a Make-Whole Exercise, the warrants held by ChaChaCha were exercised for 2,245,980 shares of Issuer common stock.
F4 Includes shares of Issuer common stock received by ChaChaCha as part of a pro rata distribution from the Sponsor, which was exempt under Rules 16a-9 and 16a-13 under the Securities Exchange Act of 1934, as amended.
F5 Reflects securities held by ChaChaCha. On the basis of Mr. Palihapitiya's relationship with ChaChaCha, Mr. Palihapitiya may be deemed a beneficial owner of the Issuer securities held by ChaChaCha. Mr. Palihapitiya disclaims beneficial ownership of the Issuer securities held by ChaChaCha, except to the extent of his pecuniary interest therein.
F6 Reflects a distribution of shares by ChaChaCha for no value.
F7 Reflects securities held by SC Ventures Holdings, LLC ("SC Ventures"). On the basis of Mr. Palihapitiya's relationship with SC Ventures, Mr. Palihapitiya may be deemed a beneficial owner of the Issuer securities held by SC Ventures. Mr. Palihapitiya disclaims beneficial ownership of the Issuer securities held by SC Ventures, except to the extent of his pecuniary interest therein.
F8 These warrants were fully vested and exercisable.
F9 Prior to the exercise of the warrants reported herein, these warrants were received by ChaChaCha as part of a pro rata distribution from the Sponsor, which was exempt under Rules 16a-9 and 16a-13 under the Securities Exchange Act of 1934, as amended.

Remarks:

FORMER CHIEF EXECUTIVE OFFICER AND DIRECTOR