Chamath Palihapitiya - 07 Jul 2021 Form 4 Insider Report for CLOVER HEALTH INVESTMENTS, CORP. /DE (CLOV)

Source evidence Original filing metadata and source links for verification. 5 source fields
SEC form
4
Accepted by SEC
24 Nov 2021, 17:22:50 UTC
Prior SEC filing
02 Jun 2021
Next SEC filing
20 Jul 2022
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
CHAMATH PALIHAPITIYA, By: /s/ Chamath Palihapitiya

Key filing fact

Chamath Palihapitiya filed Form 4 for CLOVER HEALTH INVESTMENTS, CORP. /DE (CLOV) on 24 Nov 2021.

Key facts

  • This page summarizes Chamath Palihapitiya's Form 4 filing for CLOVER HEALTH INVESTMENTS, CORP. /DE (CLOV).
  • 6 reported transactions and 2 derivative rows are listed below.
  • Accepted by SEC: 24 Nov 2021, 17:22.

Change

  • Previous filing in this sequence was filed on 02 Jun 2021.
  • Current net transaction value: +$9,999,998.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

CLOV transaction

Class A Common Stock

Other

Transaction value
Shares
-20,500,000
Change %
-100%
Price
Shares after
0
Date
07 Jul 2021
Ownership
By SCH Sponsor III LLC
Footnotes
F1, F2
CLOV transaction

Class A Common Stock

Options Exercise

Transaction value
Shares
+2,245,980
Change %
+8.3%
Price
Shares after
29,158,480
Date
16 Aug 2021
Ownership
By ChaChaCha SPAC C LLC
Footnotes
F3, F4, F5
CLOV transaction

Class A Common Stock

Other

Transaction value
$0
Shares
-750,000
Change %
-2.6%
Price
$0.000000
Shares after
28,408,480
Date
20 Aug 2021
Ownership
By ChaChaCha SPAC C LLC
Footnotes
F5, F6
CLOV transaction

Class A Common Stock

Purchase

Transaction value
$9,999,998
Shares
+1,739,130
Change %
Price
$5.75
Shares after
1,739,130
Date
22 Nov 2021
Ownership
By SC Ventures Holdings, LLC
Footnotes
F7

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

CLOV transaction Derivative

Warrants

Other

Transaction value
Shares
-10,933,333
Change %
-100%
Price
Shares after
0
Date
07 Jul 2021
Ownership
By SCH Sponsor III LLC
Underlying class
Class A Common Stock
Underlying amount
10,933,333
Exercise price
$11.50
Footnotes
F1, F2, F8
CLOV transaction Derivative

Warrants

Options Exercise

Transaction value
Shares
-9,020,000
Change %
-100%
Price
Shares after
0
Date
16 Aug 2021
Ownership
By ChaChaCha SPAC C LLC
Underlying class
Class A Common Stock
Underlying amount
2,245,980
Exercise price
Footnotes
F1, F3, F5, F8, F9
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Section 16 status

Chamath Palihapitiya is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may still apply in specific circumstances.

Explanation of responses 9 footnotes

Footnote F1

Reflects a distribution of securities by SCH Sponsor III LLC (the "Sponsor") made to its members on a pro rata basis.

Footnote F2

Reflects securities held by the Sponsor. Messrs. Chamath Palihapitiya and Ian Osborne and ChaChaCha SPAC C LLC ("ChaChaCha") may be deemed to beneficially own the Issuer securities held by the Sponsor on the basis of their direct or indirect interests in the Sponsor or their shared control over the Sponsor, as the case may be. Each of Mr. Palihapitiya, Mr. Osborne and ChaChaCha disclaims beneficial ownership of the Issuer securities held by the Sponsor, except to the extent of such person's pecuniary interest therein.

Footnote F3

These warrants were exercised in a "Make-Whole Exercise" prior to a redemption of such warrants by the Issuer. Pursuant to the terms of the warrants relating to a Make-Whole Exercise, the warrants held by ChaChaCha were exercised for 2,245,980 shares of Issuer common stock.

Footnote F4

Includes shares of Issuer common stock received by ChaChaCha as part of a pro rata distribution from the Sponsor, which was exempt under Rules 16a-9 and 16a-13 under the Securities Exchange Act of 1934, as amended.

Footnote F5

Reflects securities held by ChaChaCha. On the basis of Mr. Palihapitiya's relationship with ChaChaCha, Mr. Palihapitiya may be deemed a beneficial owner of the Issuer securities held by ChaChaCha. Mr. Palihapitiya disclaims beneficial ownership of the Issuer securities held by ChaChaCha, except to the extent of his pecuniary interest therein.

Footnote F6

Reflects a distribution of shares by ChaChaCha for no value.

Footnote F7

Reflects securities held by SC Ventures Holdings, LLC ("SC Ventures"). On the basis of Mr. Palihapitiya's relationship with SC Ventures, Mr. Palihapitiya may be deemed a beneficial owner of the Issuer securities held by SC Ventures. Mr. Palihapitiya disclaims beneficial ownership of the Issuer securities held by SC Ventures, except to the extent of his pecuniary interest therein.

Footnote F8

These warrants were fully vested and exercisable.

Footnote F9

Prior to the exercise of the warrants reported herein, these warrants were received by ChaChaCha as part of a pro rata distribution from the Sponsor, which was exempt under Rules 16a-9 and 16a-13 under the Securities Exchange Act of 1934, as amended.

SEC remarks

FORMER CHIEF EXECUTIVE OFFICER AND DIRECTOR

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