| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Priest Brady Patrick | CEO of Home Care | C/O CLOVER HEATLH INVESTMENTS, CORP., NOT APPLICABLE, WILMINGTON | /s/Peter J. Rivas as attorney-in-fact for Brady Priest | 22 Jul 2025 | 0001938197 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | CLOV | Class A Common Stock | Award | $0 | +379,867 | +18% | $0.000000 | 2,544,743 | 13 Sep 2024 | Direct | F1 |
| transaction | CLOV | Class A Common Stock | Tax liability | $142,017 | -48,305 | -1.9% | $2.94 | 2,496,438 | 18 Jul 2025 | Direct | F2, F3 |
| Id | Content |
|---|---|
| F1 | Represents restricted stock units ("RSUs"), each representing a right to a share of Class A Common Stock, earned in connection with the determination of the level of performance achievement in satisfaction of vesting conditions underlying a performance-based restricted share unit grant awarded on October 31, 2023. One-half of the number of earned restricted stock units vested and were settled on September 13, 2024, and the remaining one-half of the restricted stock units will vest on October 31, 2025, subject to the Reporting Person's continued employment on such vesting date. This Amendment is being filed to reflect the full number of RSUs that were achieved. |
| F2 | Represents shares of Class A Common Stock that were automatically withheld to cover tax obligations upon the vesting, on July 18, 2025, of 6.25% of the original number of time-based restricted stock units ("RSUs") granted to the Reporting Person on July 18, 2022, and timely reported on a Form 4 filed on July 19, 2022. The remaining RSUs vest quarterly in equal installments of 6.25%, with the final vesting date occurring on July 18, 2026, subject to the continued service of the Reporting Person on each such vesting date. |
| F3 | Number reflects total directly held Class A Common Stock taking into account the amended number and subsequent transactions through July 18, 2025. |