| 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 | 2025-10-17 | 0001971702 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | CLOV | Class A Common Stock | Tax liability | -$258K | -92.2K | -6.75% | $2.80 | 1.27M | Oct 15, 2025 | Direct | F1 |
| holding | CLOV | Class A Common Stock | 1.61M | Oct 15, 2025 | By Trust. | F2 |
| Id | Content |
|---|---|
| F1 | Represents shares of Class A Common Stock that were automatically withheld to cover tax obligations on October 15, 2025, due to the vesting of 25% of the original number of restricted stock units (RSUs) granted to the Reporting Person on October 15, 2024, and timely reported on a Form 4 filed on October 17, 2024. The remaining RSUs vest quarterly in equal installments of 6.25%, with the final vesting date occurring on October 15, 2028, 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. |