Adam McAnaney - 29 Mar 2023 Form 4 Insider Report for Signify Health, Inc.

Source evidence Original filing metadata and source links for verification. 5 source fields
SEC form
4
Accepted by SEC
29 Mar 2023, 08:55:32 UTC
Prior SEC filing
09 Mar 2023
Next SEC filing
26 Feb 2025
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Adam McAnaney**
Filing notes and source

Key filing fact

Adam McAnaney filed Form 4 for Signify Health, Inc. on 29 Mar 2023.

Key facts

  • This page summarizes Adam McAnaney's Form 4 filing for Signify Health, Inc..
  • 8 reported transactions and 4 derivative rows are listed below.
  • Accepted by SEC: 29 Mar 2023, 08:55.

Change

  • Previous filing in this sequence was filed on 09 Mar 2023.
  • Current net transaction value: $0.

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.

SGFY transaction

Class A Common Stock

Conversion of derivative security

Transaction value
Shares
+24,173
Change %
+19%
Price
Shares after
154,199
Date
29 Mar 2023
Ownership
Direct
Footnotes
F1
SGFY transaction

Class A Common Stock

Disposed to Issuer

Transaction value
Shares
-85,137
Change %
-55%
Price
Shares after
69,062
Date
29 Mar 2023
Ownership
Direct
Footnotes
F2, F3
SGFY transaction

Class B Common Stock

Disposed to Issuer

Transaction value
Shares
-24,173
Change %
-100%
Price
Shares after
0
Date
29 Mar 2023
Ownership
Direct
Footnotes
F4
SGFY transaction

Class A Common Stock

Disposed to Issuer

Transaction value
Shares
-69,062
Change %
-100%
Price
Shares after
0
Date
29 Mar 2023
Ownership
Direct
Footnotes
F5

Reported derivative securities

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

SGFY transaction Derivative

LLC Units in Cure Aggregator, LLC

Conversion of derivative security

Transaction value
Shares
-24,173
Change %
-100%
Price
Shares after
0
Date
29 Mar 2023
Ownership
Direct
Underlying class
Class A Common Stock
Underlying amount
24,173
Exercise price
Footnotes
F1
SGFY transaction Derivative

Employee Stock Options (Right to Buy)

Disposed to Issuer

Transaction value
Shares
-50,000
Change %
-100%
Price
Shares after
0
Date
29 Mar 2023
Ownership
Direct
Underlying class
Class A Common Stock
Underlying amount
50,000
Exercise price
$24.00
Footnotes
F6, F7, F8
SGFY transaction Derivative

Employee Stock Options (Right to Buy)

Disposed to Issuer

Transaction value
Shares
-213,556
Change %
-100%
Price
Shares after
0
Date
29 Mar 2023
Ownership
Direct
Underlying class
Class A Common Stock
Underlying amount
213,556
Exercise price
$8.46
Footnotes
F6, F7
SGFY transaction Derivative

Employee Stock Options (Right to Buy)

Disposed to Issuer

Transaction value
Shares
-132,138
Change %
-100%
Price
Shares after
0
Date
29 Mar 2023
Ownership
Direct
Underlying class
Class A Common Stock
Underlying amount
132,138
Exercise price
$14.19
Footnotes
F6, F7, F8
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Section 16 status

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

Explanation of responses 8 footnotes

Footnote F1

On March 29, 2023, pursuant to that certain Agreement and Plan of Merger, dated September 2, 2022, between the Issuer, CVS Pharmacy, Inc. ("Parent") and Noah Merger Sub, Inc. (the "Merger Agreement"), the Reporting Person received 24,173 shares of the Issuer's Class A Common Stock ("Class A Common Stock") pursuant to the exchange by Cure Aggregator, LLC of LLC Units of Cure TopCo, LLC ("LLC Units") for the Issuer's Class A Common Stock on a one-for one basis (and the corresponding cancellation of an equal number of shares of the Issuer's Class B Common Stock ("Class B Common Stock")), and the subsequent distribution by Cure Aggregator, LLC to the Reporting Person of such shares of Class A Common Stock.

Footnote F2

Pursuant to the Merger Agreement, as of the effective time of the merger (the "Effective Time"), each restricted stock unit with respect to shares of the Issuer's Class A Common Stock (each, an "Issuer RSU") that was not (i) outstanding immediately prior to the Effective Time to the extent vested and unsettled or (ii) outstanding immediately prior to the Effective Time and was held by any person who is a non-employee director, consultant or independent contractor engaged by the Issuer and was outstanding immediately prior to the Effective Time (each, a "Rollover RSU") was converted into a restricted stock unit, subject to substantially the same terms and conditions as were applicable under such Rollover RSU, with respect to a number of shares of common stock of CVS Health Corporation ("CVS Health Stock") equal to the number of shares of Class A Common Stock subject to such Rollover RSU multiplied by a fraction,

Footnote F3

(Continued from Footnote 2) the numerator of which is the Per Share Consideration and the denominator of which is the volume weighted average trading price (rounded to the nearest $0.01) of one share of CVS Health Stock on the New York Stock Exchange as reported on Bloomberg L.P. under the function "VWAP" (or, if not reported therein, in another authoritative source mutually selected by the parties) for the ten (10) consecutive trading days ending on (and including) the trading day that is three (3) trading days prior to the date of the closing of the Merger (the "Exchange Ratio").

Footnote F4

Pursuant to the Merger Agreement, each share of Class B Common Stock outstanding and held by the Reporting Person immediately prior to the Effective Time, was cancelled.

Footnote F5

Pursuant to the Merger Agreement, each share of Class A Common Stock outstanding and held by the Reporting Person immediately prior to the Effective Time, was cancelled and converted into the right to receive the Per Share Consideration.

Footnote F6

Pursuant to the Merger Agreement, each option to purchase a share of Class A Common Stock (each, an "Issuer Option") granted by Issuer under an Issuer stock plan that was (i) outstanding as of immediately prior to the Effective Time and was vested and unexercised (but not, for the avoidance of doubt, (x) any unvested Issuer Option that was outstanding immediately prior to the Effective Time with an exercise price that is equal to or greater than $30.50 or (y) any Issuer Option that is forfeited due to failure to satisfy performance-based conditions) or (ii) outstanding immediately prior to the Effective Time and was held by a non-employee director, consultant or independent contractor of the Issuer (whether vested or unvested) (each, a "Cash-Out Option"), was cancelled and converted into the right to receive an amount in cash equal to the product of (1) the excess, if any, of the Per Share Consideration over the per-share exercise price of such Cash-Out Option, multiplied by

Footnote F7

(Continued from Footnote 6) (2) the number of shares of Class A Common Stock then subject to such Cash-Out Option as of immediately prior to the Effective Time.

Footnote F8

Pursuant to the Merger Agreement, each Issuer Option that is not a Cash-Out Option and is outstanding immediately prior to the Effective Time (each, a "Rollover Stock Option") was converted into an option to acquire, on substantially the same terms and conditions as were applicable under such Rollover Stock Option, the number of shares of CVS Health Stock (rounded down to the nearest whole share), determined by multiplying (x) the number of shares of Class A Common Stock subject to such Rollover Stock Option immediately prior to the Effective Time by (y) the Exchange Ratio, at an exercise price per share of CVS Health Stock (rounded up to the nearest whole cent) equal to (A) the exercise price per share of Class A Common Stock subject to such Rollover Stock Option divided by (B) the Exchange Ratio.

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