Statement of Changes in Beneficial Ownership (4)
September 19 2022 - 7:50PM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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Stern Kyle |
2. Issuer Name and Ticker or Trading Symbol
Convey Health Solutions Holdings, Inc.
[
CNVY
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Mng Partner, HealthScape & EVP |
(Last)
(First)
(Middle)
C/O CONVEY HEALTH SOLUTIONS, 100 SE THIRD AVENUE, 26TH FLOOR |
3. Date of Earliest Transaction
(MM/DD/YYYY)
6/15/2022 |
(Street)
FT. LAUDERDALE, FL 33394
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 6/15/2022 | | M | | 11161 | A | $0 | 619186 | D | |
Common Stock | 6/15/2022 | | F | | 3271 | D | $3.97 (1) | 615915 | D | |
Common Stock | 9/15/2022 | | M | | 2790 | A | $0 | 618705 | D | |
Common Stock | 9/15/2022 | | F | | 818 | D | $10.5 (1) | 617887 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Restricted Stock Units | (2) | 6/15/2022 | | M | | | 11161 | (2) | (2) | Common Stock | 11161 | $0 | 33482 | D | |
Restriced Stock Units | (2) | 9/15/2022 | | M | | | 2790 | (2) | (2) | Common Stock | 2790 | $0 | 30692 | D | |
Explanation of Responses: |
(1) | Represents the satisfaction of tax withholding obligations upon the vesting of restricted stock units. |
(2) | Represents vesting of restricted stock units granted on June 15, 2021. The remainder vests in 11 equal installments every three months, subject to Mr. Stern's continued service with the Convey Health Solutions Holding, Inc. (the "Issuer") through the applicable vesting date. Each restricted stock unit represents a contingent right to receive one share of Issuer common stock. Each unit converts into a share of common stock on a one-for-one basis. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Stern Kyle C/O CONVEY HEALTH SOLUTIONS 100 SE THIRD AVENUE, 26TH FLOOR FT. LAUDERDALE, FL 33394 |
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| Mng Partner, HealthScape & EVP |
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Signatures
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/s/ Giovanni Castellanos, attorney-in-fact for Kyle Stern | | 9/19/2022 |
**Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
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