Sec Form 4 Filing - de Solo Carlos A. @ CareMax, Inc. - 2021-10-29

Insider filing report for Changes in Beneficial Ownership
"Insiders might sell their shares for any number of reasons, but they buy them for only one: they think the price will rise"
- Peter Lynch
What is insider trading>>
FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Expires: November 30, 2011
Estimated average burden hours per response... 0.5
1. Name and Address of Reporting Person
de Solo Carlos A.
2. Issuer Name and Ticker or Trading Symbol
CareMax, Inc. [ CMAX]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
President and CEO
(Last) (First) (Middle)
C/O CAREMAX, INC. 1000 NW 57 COURT, SUITE 400
3. Date of Earliest Transaction (MM/DD/YY)
10/29/2021
(Street)
MIAMI, FL33126
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Performance Stock Units $ 0 10/29/2021 A 21,450 ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 21,450 ( 1 ) $ 0 21,450 ( 1 ) D
Restricted Stock Units $ 0 10/29/2021 A 42,900 ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 42,900 $ 0 42,900 D
Stock Options $ 10 10/29/2021 A 42,900 ( 3 ) ( 3 ) ( 3 ) Class A Common Stock 42,900 $ 0 42,900 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
de Solo Carlos A.
C/O CAREMAX, INC. 1000 NW 57 COURT
SUITE 400
MIAMI, FL33126
X President and CEO
Signatures
/s/ Meredith Longsworth, Esq., as attorney-in-fact for Carlos A. de Solo 11/02/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Each performance stock unit ("PSU") represents a contingent right to receive one share of the issuer's Class A common stock ("Common Stock") in accordance with the issuer's 2021 Long-Term Incentive Plan (the "Plan"). The PSUs vest based on the volume weighted average price (the "VWAP") of the Common Stock during the thirty trading days prior to July 1, 2023 (the "Measurement Period"). The number of PSUs listed is the base number of PSUs that may vest. The actual number of PSUs that will vest will be between zero and two times the base number of PSUs depending on the VWAP of the Common Stock during the Measurement Period.
( 2 )Each restricted stock unit ("RSU") represents a contingent right to receive one share of Common Stock in accordance with the Plan. The RSUs will vest in three equal installments on October 29, 2022, June 8, 2023 and June 8, 2024.
( 3 )Each stock option represents a contingent right to receive, upon the exercise of a vested stock option, one share of Common Stock in accordance with the Plan. The stock options will vest in three equal installments on October 29, 2022, June 8, 2023 and June 8, 2024.

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 4(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.
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 Number.