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*
Hicks Michael-Bryant

(Last) (First) (Middle)
C/O APRIA INC. 7353 COMPANY DRIVE

(Street)
INDIANAPOLIS IN 46237

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/15/2021
3. Issuer Name and Ticker or Trading Symbol
Apria, Inc. [ APR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
See Remarks
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)
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
Explanation of Responses:
Remarks:
EVP, General Counsel & Secretary Exhibit List: Exhibit 24 - Power of Attorney.
No securities are beneficially owned.
/s/ Michael-Bryant Hicks 03/22/2021
** 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.
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.


                                POWER OF ATTORNEY


Know all by these presents that the undersigned, does hereby make, constitute

and appoint each of Debra L. Morris and Doreen Bellucci, or any one of them, as

a true and lawful attorney-in-fact of the undersigned with full powers of

substitution and revocation, for and in the name, place and stead of the

undersigned (in the undersigned's individual capacity), to execute and deliver

such forms that the undersigned may be required to file with the U.S. Securities

and Exchange Commission as a result of the undersigned's ownership of or

transactions in securities of Apria Inc. (the "Company") (i) pursuant to Section

16(a) of the Securities Exchange Act of 1934, as amended, including without

limitation, statements on Form 3, Form 4 and Form 5 (including any amendments

thereto) and (ii) in connection with any applications for EDGAR access codes or

any other documents necessary or appropriate to obtain codes and passwords

enabling the undersigned to make electronic filings with the Securities and

Exchange Commission, including without limitation the Form ID. The Power of

Attorney shall remain in full force and effect until the undersigned is no

longer required to file Forms 3, 4 and 5 with regard to his or her ownership

of or transactions in securities of the Company, unless earlier revoked in

writing. Debra L. Morris and Doreen Bellucci are not assuming any of the

undersigned's responsibilities to comply with Section 16 of the Securities

Exchange Act of 1934, as amended.




                                      By: /s/ Michael-Bryant Hicks
                                          ------------------------
                                      Name: Michael-Bryant Hicks



                                      Date: March 22, 2021