UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option | (1) | 04/06/2030(1) | Common Stock | 23,483 | $ 17.57 | D | |
Stock Option | (2) | 10/28/2031(2) | Common Stock | 25,704 | $ 19 | D | |
Restricted Stock Unit (RSU) | (3) | (3) | Common Stock | 7,894 | $ 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Blanton Laurie J. 100 CENTERVIEW DRIVE SUITE 300 NASHVILLE, TN 37214 |
Chief Accounting Officer |
Brian Copple, as Attorney-in-fact, for Laurie J. Blanton | 12/14/2021 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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). |
(1) | Stock option granted on April 6, 2020, which vests and becomes exercisable 25% on April 6, 2021 and the remaining 75% in 12 equal quarterly installments thereafter. |
(2) | Stock option granted on October 28, 2021, which generally vests and becomes exercisable 25% on October 28, 2022 and the remaining 75% in 12 equal installments thereafter, subject to continued employment through the applicable vesting date. |
(3) | Restricted stock units award granted on October 28, 2021, which generally vests 25% on each of November 20, 2022, November 20, 2023, November 20, 2024, and November 20, 2025, subject to continued employment. |
Remarks: Exhibit List - Exhibit 24.1 Power of Attorney |