0000950170-24-070952.txt : 20240607
0000950170-24-070952.hdr.sgml : 20240607
20240607180603
ACCESSION NUMBER: 0000950170-24-070952
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240606
FILED AS OF DATE: 20240607
DATE AS OF CHANGE: 20240607
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BAIN CAPITAL INVESTORS LLC
CENTRAL INDEX KEY: 0001040508
ORGANIZATION NAME:
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-42125
FILM NUMBER: 241030959
BUSINESS ADDRESS:
STREET 1: 200 CLARENDON STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: 617-516-2000
MAIL ADDRESS:
STREET 1: 200 CLARENDON STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bain Capital Fund XI, L.P.
CENTRAL INDEX KEY: 0001568889
ORGANIZATION NAME:
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-42125
FILM NUMBER: 241030955
BUSINESS ADDRESS:
STREET 1: JOHN HANCOCK TOWER
STREET 2: 200 CLARENDON STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: 6175162000
MAIL ADDRESS:
STREET 1: JOHN HANCOCK TOWER
STREET 2: 200 CLARENDON STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BCPE Derby Investor, LP
CENTRAL INDEX KEY: 0002025342
ORGANIZATION NAME:
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-42125
FILM NUMBER: 241030958
BUSINESS ADDRESS:
STREET 1: 200 CLARENDON STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: 6175162000
MAIL ADDRESS:
STREET 1: 200 CLARENDON STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bain Capital Partners XI, L.P.
CENTRAL INDEX KEY: 0001851748
ORGANIZATION NAME:
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-42125
FILM NUMBER: 241030956
BUSINESS ADDRESS:
STREET 1: 200 CLARENDON STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: 6175162000
MAIL ADDRESS:
STREET 1: 200 CLARENDON STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BCPE Derby GP, LLC
CENTRAL INDEX KEY: 0002025234
ORGANIZATION NAME:
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-42125
FILM NUMBER: 241030957
BUSINESS ADDRESS:
STREET 1: 200 CLARENDON STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: 6175162000
MAIL ADDRESS:
STREET 1: 200 CLARENDON STREET
CITY: BOSTON
STATE: MA
ZIP: 02116
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Waystar Holding Corp.
CENTRAL INDEX KEY: 0001990354
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373]
ORGANIZATION NAME: 06 Technology
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1550 DIGITAL DRIVE, #300
CITY: LEHI
STATE: UT
ZIP: 84043
BUSINESS PHONE: 844-492-9782
MAIL ADDRESS:
STREET 1: 1550 DIGITAL DRIVE, #300
CITY: LEHI
STATE: UT
ZIP: 84043
3
1
ownership.xml
3
X0206
3
2024-06-06
0
0001990354
Waystar Holding Corp.
WAY
0001040508
BAIN CAPITAL INVESTORS LLC
C/O BAIN CAPITAL PRIVATE EQUITY, LP
200 CLARENDON STREET
BOSTON
MA
02116
false
false
true
false
0002025342
BCPE Derby Investor, LP
200 CLARENDON STREET
BOSTON
MA
02116
false
false
true
false
0002025234
BCPE Derby GP, LLC
200 CLARENDON STREET
BOSTON
MA
02116
false
false
true
false
0001568889
Bain Capital Fund XI, L.P.
200 CLARENDON STREET
BOSTON
MA
02116
false
false
true
false
0001851748
Bain Capital Partners XI, L.P.
200 CLARENDON STREET
BOSTON
MA
02116
false
false
true
false
Common Stock
27980417
I
See footnotes
Represents shares of Common Stock held by BCPE Derby Investor, LP ("Derby Investor").
Bain Capital Fund XI, LP ("Fund XI") is the sole member of BCPE Derby GP, LLC ("Derby GP"), which is the general partner of Derby Investor. Bain Capital Investors, LLC ("BCI") is the manager of Bain Capital Partners XI, LP ("Partners XI" and, together with BCI, Derby GP, Derby Investor and Fund XI, the "Bain Capital Entities"), which is the general partner of Fund XI. As a result, each of the Bain Capital Entities may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by Derby Investor. Each of the Bain Capital Entities disclaims beneficial ownership of such securities, except to the extent of its pecuniary interest therein.
Bain Capital Investors, LLC, By: /s/ David Humphrey, Title: Authorized Signatory
2024-06-07
BCPE Derby Investor, LP, By: BCPE Derby GP, LLC, its general partner, By: Bain Capital Fund XI, L.P. its member, By: Bain Capital Partners XI, L.P. its general partner, By: Bain Capital Investors, LLC its general partner, By: /s/ David Humphrey, Title: A
2024-06-07
BCPE Derby GP, LLC, By: Bain Capital Fund XI, L.P. its member, By: Bain Capital Partners XI, L.P. its general partner, By: Bain Capital Investors, LLC its general partner, By: /s/ David Humphrey, Title: Authorized Signatory
2024-06-07
Bain Capital Fund XI, LP, By: Bain Capital Partners XI, LP, its general partner, By: Bain Capital Investors, LLC, its manager, By: /s/ David Humphrey, Title: Authorized Signatory
2024-06-07
Bain Capital Partners XI, LP, By: Bain Capital Investors, LLC, its manager, By: /s/ David Humphrey, Title: Authorized Signatory
2024-06-07