| 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 | 2025-07-31 | 0001651691 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | CLOV | Class A Common Stock | Tax liability | -$628K | -217K | -3.42% | $2.89 | 6.13M | Jul 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 July 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 beginning on the date that is three months after July 29, 2025, and ending on April 29, 2028, in each case subject to the continued service of the Reporting Person on such vesting date. |