0000950170-24-066040.txt : 20240529
0000950170-24-066040.hdr.sgml : 20240529
20240529165630
ACCESSION NUMBER: 0000950170-24-066040
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240524
FILED AS OF DATE: 20240529
DATE AS OF CHANGE: 20240529
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CRISAN JEFFREY
CENTRAL INDEX KEY: 0001407544
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40478
FILM NUMBER: 24999355
BUSINESS ADDRESS:
STREET 1: C/O BAIN CAPITAL VENTURE PARTNERS, LLC
STREET 2: JOHN HANCOCK TOWER, 200 CLARENDON STREET
CITY: BOSTON, MA
STATE: MA
ZIP: 02116
BUSINESS PHONE: 617-516-2234
MAIL ADDRESS:
STREET 1: C/O BAIN CAPITAL VENTURE PARTNERS, LLC
STREET 2: JOHN HANCOCK TOWER, 200 CLARENDON STREET
CITY: BOSTON, MA
STATE: MA
ZIP: 02116
FORMER NAME:
FORMER CONFORMED NAME: Jeffrey Crisan
DATE OF NAME CHANGE: 20070723
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: LifeStance Health Group, Inc.
CENTRAL INDEX KEY: 0001845257
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000]
ORGANIZATION NAME: 08 Industrial Applications and Services
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
ownership.xml
4
X0508
4
2024-05-24
0001845257
LifeStance Health Group, Inc.
LFST
0001407544
CRISAN JEFFREY
116 HUNTINGTON AVENUE, 15TH FLOOR
BOSTON
MA
02116
true
false
false
true
Member of 10% Group
false
Common Stock
2024-05-24
4
S
false
1624638
5.89
D
17916554
I
See footnotes
Jeffrey Crisan is a Manager of Silversmith Partners I GP, LLC. Silversmith Partners I GP, LLC is the general partner of Silversmith Partners I GP, L.P., which is the general partner of Silversmith Capital Partners I-A, L.P., Silversmith Capital Partners I-B, L.P. and Silversmith Capital Partners I-C, L.P. (collectively, the "Silversmith Entities"). Following the transactions reported herein, Silversmith Capital Partners I-A, L.P. holds 12,327,585 shares of common stock of the Issuer, Silversmith Capital Partners I-B, L.P. holds 4,459,231 shares of common stock of the Issuer, and Silversmith Capital Partners I-C, L.P. holds 1,129,738 shares of common stock of the Issuer.
As a result of the relationships described above, Mr. Crisan may be deemed to share voting and dispositive power with respect to the shares held by the Silversmith Entities. Mr. Crisan disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein.
By: /s/ Jeffrey Crisan
2024-05-29