Sharad Mansukani Form 3 agilon health / Sharad Mansukani ownership change

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL 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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1. Name and Address of Reporting Person^*

Mansukani Sharad

(Last) (First) (Middle)

C/O AGILON HEALTH, INC.

1 WORLD TRADE CENTER, SUITE 2000

(Street)

LONG BEACH CA 90831

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
04/14/2021

3. Issuer Name and Ticker or Trading Symbol
agilon health, inc. [ AGL ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
	Officer (give title below)	Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	1,222,400	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Options (Rights to Buy)	(1)	04/27/2027	Common Stock	650,000	1	D
Options (Rights to Buy)	(2)	04/27/2027	Common Stock	150,000	3	D

Explanation of Responses:

1. These options were granted on April 27, 2017, and fully vested on July 1, 2020.

2. These options were granted on April 27, 2017, and will vest on the date CD&R Vector Holdings, L.P. achieves a return of at least three times its initial investment in agilon health, inc., subject to continued service as a director.

Remarks:

Exhibit List: Ex.24 - Power of Attorney

	/s/ Lyn Amor Macaraeg, as Attorney-in-Fact	04/14/2021
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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