| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Kuipers Peter J. | Chief Financial Officer | C/O CLOVER HEALTH INVESTMENTS, CORP., NOT APPLICABLE, WILMINGTON | Peter J. Rivas as attorney-in-fact for Peter Kuipers | 2025-10-31 | 0001651691 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | CLOV | Class A Common Stock | Tax liability | -$791K | -217K | -3.54% | $3.64 | 5.92M | Oct 29, 2025 | Direct | F1 |
| Id | Content |
|---|---|
| F1 | Represents shares of Class A Common Stock that were automatically withheld to cover tax obligations upon the vesting, on October 29, 2025, of 6.25% of the original number of time-based restricted stock units ("RSUs") granted to the Reporting Person on April 29, 2024. The remaining RSUs vest in equal quarterly installments, with a final vesting date on April 29, 2028, in each case subject to the continued service of the Reporting Person on such vesting date. |