Ownership Submission
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FORM 4
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Check this box if no longer subject to Section 16, Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549STATEMENT OF CHANGES IN 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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OMB APPROVAL
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OMB Number:3235-0287Expires:January 31, 2005Estimated average burden hours per response...0.5
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1. Name and Address of Reporting Person *
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Alkire Michael J.
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2. Issuer Name and Ticker or Trading Symbol
Premier, Inc. [PINC]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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__X__ Director
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_____ 10% Owner
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_____ Officer (give title below)
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_____ Other (specify below)
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President & CEO /
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(Last)
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(First)
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(Middle)
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C/O PREMIER, INC. , 13034 BALLANTYNE CORPORATE PLACE
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3. Date of Earliest Transaction (Month/Day/Year)
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(Street)
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CHARLOTTE
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NC
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28277
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4. If Amendment, Date Original Filed(Month/Day/Year)
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6. Individual or Join/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
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2. Transaction Date (Month/Day/Year)
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2A. Deemed Execution Date, if any (Month/Day/Year)
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3. Transaction Code
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4. Securities Acquired (A) or Disposed of (D)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
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6. Ownership Form: Direct (D) or Indirect (I)
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7. Nature of Indirect Beneficial Ownership
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Code
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V
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Amount
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(A) or (D)
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Price
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
(e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date (Month/Day/Year)
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3A. Deemed Execution Date, if any (Month/Day/Year)
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4. Transaction Code
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
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8. Price of Derivative Security
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
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11. Nature of Indirect Beneficial Ownership
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expriation Date
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Title
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Amount or Number of Shares
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Alkire Michael J.
C/O PREMIER, INC.
13034 BALLANTYNE CORPORATE PLACE
CHARLOTTE, NC28277
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X
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President & CEO
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Signatures
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/s/ David L. Klatsky, Attorney-in-Fact
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2022-01-24
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**Signature of Reporting Person
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Date
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Explanation of Responses:
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(*)
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If the form is filed by more than one reporting person, see Instruction 5(b)(v).
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(**)
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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(1)
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On December 31, 2021, in connection with his marital separation agreement, the reporting person transferred 74,590 shares of Class A Common Stock to an irrevocable trust for which his former spouse is trustee and the reporting person is beneficiary. The reporting person has no investment control over the securities held in the irrevocable trust.
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(2)
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Total also reflects the transfer by the reporting person of 74,590 shares of Class A Common Stock and 16,162 unvested restricted stock units to his former spouse pursuant to a domestic relations order. The reporting person no longer reports as beneficially owned any securities owned by his former spouse.
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(3)
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The right to exercise one-third of the options on June 30 of each of 2014, 2015 and 2016.
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(4)
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Total reflects the transfer by the reporting person of one-half of his outstanding options to purchase shares of Class A Common Stock to his former spouse pursuant to a domestic relations order. The reporting person no longer reports as beneficially owned any securities owned by his former spouse.
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(5)
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The right to exercise one-third of the options on August 28 of each of 2015, 2016 and 2017.
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(6)
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The right to exercise one-third of the options on August 30 of each of 2016, 2017 and 2018.
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(7)
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The right to exercise one-third of the options on August 30 of each of 2017, 2018 and 2019.
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(8)
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The right to exercise one-third of the options on August 24 of each of 2018, 2019 and 2020.
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Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
See Instruction 6 for procedure.Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
