| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Garipalli Vivek | Director, 10%+ Owner | C/O CLOVER HEALTH INVESTMENTS, CORP., NOT APPLICABLE, WILMINGTON | /s/Peter J. Rivas as attorney-in-fact for Vivek Garipalli | 2025-08-08 | 0001839260 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | CLOV | Class A Common Stock | Purchase | $930K | +415K | +29.45% | $2.24 | 1.82M | Aug 7, 2025 | Direct | F1 |
| transaction | CLOV | Class A Common Stock | Purchase | $69.4K | +32K | +1.75% | $2.17 | 1.86M | Aug 8, 2025 | Direct | F2 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| holding | CLOV | Class B Common Stock | 6.9M | Aug 7, 2025 | Class A Common Stock | 6.9M | Direct | F3 | ||||||
| holding | CLOV | Class B Common Stock | 11.5M | Aug 7, 2025 | Class A Common Stock | 11.5M | Held by Ceasar Clover, LLC | F3, F4 | ||||||
| holding | CLOV | Class B Common Stock | 72.1M | Aug 7, 2025 | Class A Common Stock | 72.1M | Held by NJ Healthcare Investments, LLC | F3, F4 |
| Id | Content |
|---|---|
| F1 | The price reported in Column 4 is a weighted average price. These shares were bought in multiple transactions at prices ranging from $2.16 to $2.32, inclusive. The Reporting Person undertakes to provide to Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares bought at each separate price within the range set forth in this Footnote 1 to this Form 4. |
| F2 | The price reported in Column 4 is a weighted average price. These shares were bought in multiple transactions at prices ranging from $2.15 to $2.21, inclusive. The Reporting Person undertakes to provide to Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares bought at each separate price within the range set forth in this Footnote 2 to this Form 4. |
| F3 | The Issuer's Class B Common Stock is convertible into shares of the Issuer's Class A Common Stock on a one-to-one basis at the option of the holders of the Issuer's Class B Common Stock at any time upon written notice to the Issuer, and automatically in the event of certain transfers, including, but not limited to, a transfer of shares to the Issuer. |
| F4 | The Reporting Person serves as the sole manager of each of NJ Healthcare Investments, LLC and Caesar Clover, LLC. |