Form Type: 4

SEC EDGAR Link
Accession Number:0000899243-21-001383
Date:2021-01-07
Issuer: CLOVER HEALTH INVESTMENTS, CORP. /DE (CLOV)
Original Submission Date:

Reporting Person:

RYANS JAMES
C/O 317 UNIVERSITY AVE, SUITE 200
PALO ALTO, CA 94301

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
CLASS A COMMON STOCK 2021-01-07 M 100,000 a $0.00 100,000 direct
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
CLASS B ORDINARY SHARE 0.0 2021-01-07 deemed execution date M 100,000 (d) class a common stock 100,000 $0.00 0 direct
Footnotes
IDfootnote
f1 on january 7, 2021, the social capital hedosophia holdings corp. iii ("sch" and the former name of the issuer) consummated its initial business combination (the "business combination") with clover health investments, corp. in connection with the consummation of the business combination, each share of class b ordinary share, par value $0.0001 per share, of sch automatically converted into one share of the issuer's class a common stock, par value $0.0001 per share.
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