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