| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Reynoso Jamie L. | CEO, Medicare Advantage | C/O CLOVER HEALTH INVESTMENTS, CORP., NOT APPLICABLE, WILMINGTON | /s/Peter J. Rivas as attorney-in-fact for Jamie L. Reynoso | 2025-11-04 | 0001839066 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | CLOV | Class A Common Stock | Tax liability | -$360K | -102K | -3.45% | $3.53 | 2.85M | Oct 31, 2025 | Direct | F1 |
| transaction | CLOV | Class A Common Stock | Tax liability | -$104K | -29.5K | -1.03% | $3.53 | 2.82M | Oct 31, 2025 | Direct | F2 |
| Id | Content |
|---|---|
| F1 | Represents shares of Class A Common Stock that were automatically withheld to cover tax obligations due to the vesting of the final 50% of the number of earned performance-based restricted stock units (RSU), as described herein. Each RSU represented a right to a share of Class A Common Stock, earned in connection with the determination of the level of performance achievement in satisfaction of vesting conditions underlying a performance-based restricted share unit grant awarded on October 31, 2023. One-half of the number of earned restricted stock units vested and were settled on September 13, 2024, and the remaining one-half of the restricted stock units vested on October 31, 2025. |
| F2 | Represents shares of Class A Common Stock that were automatically withheld to cover tax obligations due to the vesting on October 31, 2025, of the final 12.5% of RSUs granted to the Reporting Person on October 31, 2023. |