SEC FORM 3 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*
IGNITE AGGREGATOR LP

(Last) (First) (Middle)
C/O APAX PARTNERS, L.P.
601 LEXINGTON AVENUE, 53RD FLOOR

(Street)
NEW YORK NY 10022

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/03/2021
3. Issuer Name and Ticker or Trading Symbol
InnovAge Holding Corp. [ INNV ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 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)
Form filed by One Reporting Person
X 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, $0.001 par value 116,520,612 I See Footnote(1)(2)(3)
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
1. Name and Address of Reporting Person*
IGNITE AGGREGATOR LP

(Last) (First) (Middle)
C/O APAX PARTNERS, L.P.
601 LEXINGTON AVENUE, 53RD FLOOR

(Street)
NEW YORK NY 10022

(City) (State) (Zip)
1. Name and Address of Reporting Person*
APAX X (GUERNSEY) USD AIV LP

(Last) (First) (Middle)
C/O APAX PARTNERS, L.P.
601 LEXINGTON AVENUE, 53RD FLOOR

(Street)
NEW YORK NY 10022

(City) (State) (Zip)
1. Name and Address of Reporting Person*
IGNITE GP INC.

(Last) (First) (Middle)
C/O APAX PARTNERS, L.P.
601 LEXINGTON AVENUE, 53RD FLOOR

(Street)
NEW YORK NY 10022

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Apax X EUR L.P.

(Last) (First) (Middle)
C/O APAX PARTNERS, L.P.
601 LEXINGTON AVENUE, 53RD FLOOR

(Street)
NEW YORK NY 10022

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Apax X USD L.P.

(Last) (First) (Middle)
C/O APAX PARTNERS, L.P.
601 LEXINGTON AVENUE, 53RD FLOOR

(Street)
NEW YORK NY 10022

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Apax X GP Co. Ltd

(Last) (First) (Middle)
C/O APAX PARTNERS, L.P.
601 LEXINGTON AVENUE, 53RD FLOOR

(Street)
NEW YORK NY 10022

(City) (State) (Zip)
Explanation of Responses:
1. Includes 116,520,612 shares of common stock held directly by TCO Group Holdings, L.P. The limited partners of TCO Group Holdings, L.P. may control the voting and dispositive power with respect to the common stock if Ignite Aggregator LP consents to a change to the delegation of authority to the committee of limited partners that controls TCO Group Holding, L.P. Ignite GP, Inc. serves as the general partner of Ignite Aggregator LP.
2. Ignite Aggregator LP's partnership interests are held by Apax X GP Co. Limited on behalf of Apax X EUR LP, Apax X (Guernsey) USD AIV LP and Apax X USD LP (collectively, the "Apax X Fund").
3. Apax X GP Co. Limited, a company incorporated in Guernsey, acts as the investment manager and is responsible for the decision-making on behalf of the Apax X Fund. The directors of Apax X GP Co. Limited are Simon Cresswell, Andrew Guille, Martin Halusa, Paul Meader and David Staples.
/s/ Andrew Cavanna, President of Ignite GP, Inc., the general partner of Ignite Aggregator LP 03/03/2021
/s/ Andrew Cavanna, Authorized Signatory of Ignite GP, Inc. 03/03/2021
/s/ Andrew Guille, Authorized Signatory of Apax X (Guernsey) USD AIV LP 03/03/2021
/s/ Andrew Guille, Authorized Signatory of Apax X EUR LP 03/03/2021
/s/ Andrew Guille, Authorized Signatory of Apax X USD LP 03/03/2021
/s/ Andrew Guille, Authorized Signatory of Apax X GP Co. Limited 03/03/2021
** 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).
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