| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Wai Conrad | CEO, Counterpart Health | C/O CLOVER HEALTH INVESTMENTS, CORP., NOT APPLICABLE, WILMINGTON | /s/ Peter J. Rivas as attorney-in-fact for Conrad Wai | 16 Sep 2025 | 0001971702 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | CLOV | Class A Common Stock | Tax liability | $301,141 | -98,412 | -5.9% | $3.06 | 1,573,425 | 14 Sep 2025 | Direct | F1 |
| holding | CLOV | Class A Common Stock | 1,403,701 | 14 Sep 2025 | By Trust. | F2 |
| Id | Content |
|---|---|
| F1 | Represents shares of Class A Common Stock that were automatically withheld to cover tax obligations upon the vesting, on September 14, 2025, of 6.25% of the original number of time-based restricted stock units ("RSUs") granted to the Reporting Person on March 14, 2022. The remaining RSUs vest quarterly in equal installments of 6.25%, with a final vesting date occurring on March 14, 2026, subject to the continued service of the Reporting Person on each such vesting date. |
| F2 | Shares held in trust for the benefit of the Reporting Person's family, of which the Reporting Person is a co-trustee. |