0000899243-21-023405.txt : 20210611
0000899243-21-023405.hdr.sgml : 20210611
20210611205528
ACCESSION NUMBER: 0000899243-21-023405
CONFORMED SUBMISSION TYPE: 3/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210610
FILED AS OF DATE: 20210611
DATE AS OF CHANGE: 20210611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mullins Kevin Michael
CENTRAL INDEX KEY: 0001864233
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40478
FILM NUMBER: 211012985
MAIL ADDRESS:
STREET 1: 4800 N. SCOTTSDALE ROAD
STREET 2: SUITE 6000
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85251
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: LifeStance Health Group, Inc.
CENTRAL INDEX KEY: 0001845257
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 4800 N. SCOTTSDALE ROAD
STREET 2: SUITE 6000
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85251
BUSINESS PHONE: 425-279-8500
MAIL ADDRESS:
STREET 1: 4800 N. SCOTTSDALE ROAD
STREET 2: SUITE 6000
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85251
3/A
1
doc3a.xml
FORM 3/A SUBMISSION
X0206
3/A
2021-06-10
2021-06-10
0
0001845257
LifeStance Health Group, Inc.
LFST
0001864233
Mullins Kevin Michael
C/O LIFESTANCE HEALTH GROUP, INC.
4800 N. SCOTTSDALE ROAD, SUITE 6000
SCOTTSDALE
AZ
85251
0
1
0
0
Chief Development Officer
Common Stock
5715755
D
Includes 3,083,609 shares of restricted stock and 520,377 restricted stock units ("RSUs"). Each RSU represents a contingent right to receive one share of the Issuer's common stock.
This amendment is being filed solely to amend the original Form 3 filed by the Reporting Person to include RSUs granted in connection with the Issuer's initial public offering.
By: /s/ Ryan Pardo, Attorney-in-Fact
2021-06-11