0000899243-22-030756.txt : 20220909
0000899243-22-030756.hdr.sgml : 20220909
20220909191146
ACCESSION NUMBER: 0000899243-22-030756
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220907
FILED AS OF DATE: 20220909
DATE AS OF CHANGE: 20220909
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Burdick Kenneth A
CENTRAL INDEX KEY: 0001498992
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40478
FILM NUMBER: 221237110
MAIL ADDRESS:
STREET 1: 6705 ROCKLEDGE DR
STREET 2: SUITE 900
CITY: BETHESDA
STATE: MD
ZIP: 20817
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
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4800 N. SCOTTSDALE ROAD
STREET 2: SUITE 6000
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85251
BUSINESS PHONE: 602-767-2100
MAIL ADDRESS:
STREET 1: 4800 N. SCOTTSDALE ROAD
STREET 2: SUITE 6000
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85251
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-09-07
0
0001845257
LifeStance Health Group, Inc.
LFST
0001498992
Burdick Kenneth A
C/O LIFESTANCE HEALTH GROUP, INC.
4800 N. SCOTTSDALE ROAD, SUITE 6000
SCOTTSDALE
AZ
85251
1
1
0
0
Chief Executive Officer
Stock Option (right to buy)
7.61
2022-09-07
4
A
0
9404539
0.00
A
2032-09-07
Common Stock
9404539
9404539
D
The options were granted by the Issuer pursuant to the LifeStance Health Group, Inc. 2021 Equity Incentive Plan.
Includes an option to purchase 3,134,846 shares of the Issuer's common stock, subject to time-based vesting (the "Time-Vesting Option"). The Time-Vesting Option vests as to 25% on each of the first four anniversaries of the vesting commencement date, September 7, 2022. Includes an option to purchase 6,269,693 shares of the Issuer's common stock, subject to time- and performance-based vesting (the "Performance-Vesting Option"). The Performance-Vesting Option vests as to up to 25% on each of the first four anniversaries of the vesting commencement date, September 7, 2022. Following each anniversary of the vesting commencement date, any portion of the Performance-Vesting Option eligible to vest as of such measurement date that did not vest pursuant to the performance-based vesting criteria will be eligible to vest on a quarterly basis thereafter, subject to the same performance-based vesting criteria.
By: /s/ Ryan Pardo, Attorney-in-Fact
2022-09-09