0000899243-23-015627.txt : 20230615
0000899243-23-015627.hdr.sgml : 20230615
20230615172456
ACCESSION NUMBER: 0000899243-23-015627
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230614
FILED AS OF DATE: 20230615
DATE AS OF CHANGE: 20230615
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gouk Warren
CENTRAL INDEX KEY: 0001865503
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40478
FILM NUMBER: 231018541
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
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
X0407
4
2023-06-14
0
0001845257
LifeStance Health Group, Inc.
LFST
0001865503
Gouk Warren
C/O LIFESTANCE HEALTH GROUP, INC.
4800 N. SCOTTSDALE ROAD, SUITE 6000
SCOTTSDALE
AZ
85251
0
1
0
0
Chief Administrative Officer
0
Common Stock
2023-06-14
4
S
0
45984
8.95
D
5925982
D
Common Stock
177900
I
By Trust
Common Stock
177900
I
By Trust
Common Stock
263150
I
By Trust
Common Stock
263150
I
By Trust
Shares held of record by the Tanner J. Gouk GST Trust. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities on this report shall not be deemed an admission that the Reporting Person is the beneficial owner of the reported securities for purposes of Section 16 of the Exchange Act or for any other purpose.
Shares held of record by the Emerson G. Gouk GST Trust. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities on this report shall not be deemed an admission that the Reporting Person is the beneficial owner of the reported securities for purposes of Section 16 of the Exchange Act or for any other purpose.
Shares held of record by the Tanner Gouk Irrevocable Trust. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities on this report shall not be deemed an admission that the Reporting Person is the beneficial owner of the reported securities for purposes of Section 16 of the Exchange Act or for any other purpose.
Shares held of record by the Emerson Gouk Irrevocable Trust. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities on this report shall not be deemed an admission that the Reporting Person is the beneficial owner of the reported securities for purposes of Section 16 of the Exchange Act or for any other purpose.
/s/ Ryan Pardo, Attorney-in-Fact
2023-06-15