| 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 | 09 Jan 2026 | 0001839260 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | CLOV | Class A Common Stock | Options Exercise | $0 | +1,655,949 | +89% | $0.000000 | 3,512,196 | 07 Jan 2026 | Direct | F1, F2 |
| transaction | CLOV | Class A Common Stock | Tax liability | $4,288,908 | -1,655,949 | -47% | $2.59 | 1,856,247 | 07 Jan 2026 | Direct | F1, F2 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | CLOV | Restricted Stock Unit | Options Exercise | -3,342,699 | -100% | 0 | 07 Jan 2026 | Class B Common Stock | 3,342,699 | Direct | F1, F3 | |||
| transaction | CLOV | Class B Common Stock | Options Exercise | +3,342,699 | +48% | 10,247,042 | 07 Jan 2026 | Class A Common Stock | 3,342,699 | Direct | F1, F2 | |||
| transaction | CLOV | Class B Common Stock | Options Exercise | -1,655,949 | -16% | 8,591,093 | 07 Jan 2026 | Class A Common Stock | 1,655,949 | Direct | F1, F2 | |||
| holding | CLOV | Class B Common Stock | 72,084,543 | 07 Jan 2026 | Class A Common Stock | 75,694,143 | Held by NJ Healthcare Investments, LLC | F1, F4 | ||||||
| holding | CLOV | Class B Common Stock | 11,500,000 | 07 Jan 2026 | Class A Common Stock | 11,500,000 | Held by Ceasar Clover, LLC | F1, F4 |
| Id | Content |
|---|---|
| F1 | 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. |
| F2 | On January 7, 2026, the final 20% of the original number of restricted stock units ("RSUs") in respect of a Class B Common Stock granted to the Reported Person on January 7, 2021 vested, with 1,686,750 shares of the Issuer's Class B Common Stock being delivered to the Reporting Person and 1,655,949 shares of the Issuer's Class B Common Stock automatically converting into an equal number of shares of the Issuer's Class A Common Stock and being withheld by the Issuer to cover the Reporting Person's tax obligations in connection with the vesting event. |
| F3 | Each RSU represents a contingent right to receive one share of the Issuer's Class B Common Stock upon settlement for no consideration. The RSU award vested in equal installments on the first five anniversaries of January 7, 2021. |
| F4 | The Reporting Person serves as the sole manager of each of NJ Healthcare Investments, LLC and Caesar Clover, LLC. |