0001140361-21-042170.txt : 20211217 0001140361-21-042170.hdr.sgml : 20211217 20211217125520 ACCESSION NUMBER: 0001140361-21-042170 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211012 FILED AS OF DATE: 20211217 DATE AS OF CHANGE: 20211217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: J. Safra Sarasin Asset Management (Europe) Ltd CENTRAL INDEX KEY: 0001890210 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40887 FILM NUMBER: 211500604 BUSINESS ADDRESS: BUSINESS PHONE: 44 20 3964 9193 MAIL ADDRESS: STREET 1: 47 BERKELEY SQUARE CITY: LONDON STATE: X0 ZIP: W1J 5AU REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JSS LTF HOLDINGS LTD CENTRAL INDEX KEY: 0001886697 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40887 FILM NUMBER: 211500609 BUSINESS ADDRESS: BUSINESS PHONE: 41 58 317 5643 MAIL ADDRESS: STREET 1: MARCY BUILDING, PURCELL ESTATE STREET 2: P.O. BOX 2416 CITY: ROAD TOWN, TORTOLA STATE: D8 ZIP: VG1110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Colwood Investment Holding Inc. CENTRAL INDEX KEY: 0001890192 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40887 FILM NUMBER: 211500608 BUSINESS ADDRESS: BUSINESS PHONE: 41 58 317 5643 MAIL ADDRESS: STREET 1: AVENIDA SAMUEL LEWIS Y CALLE 54 STREET 2: EDIFICIO AFRA CITY: PANAMA STATE: R1 ZIP: NA REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JSS Private Investments Fund I CENTRAL INDEX KEY: 0001890199 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40887 FILM NUMBER: 211500607 BUSINESS ADDRESS: BUSINESS PHONE: 352 26 21 25 1 MAIL ADDRESS: STREET 1: 17-21, BOULEVARD JOSEPH II CITY: LUXEMBOURG STATE: N4 ZIP: L-1840 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JSS Private Equity Investments Fund GP S.a r.l. CENTRAL INDEX KEY: 0001890207 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40887 FILM NUMBER: 211500606 BUSINESS ADDRESS: BUSINESS PHONE: 352 26 21 25 1 MAIL ADDRESS: STREET 1: 17-21, BOULEVARD JOSEPH II CITY: LUXEMBOURG STATE: N4 ZIP: L-1840 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: J. Safra Sarasin Fund Management (Luxembourg) S.A. CENTRAL INDEX KEY: 0001890255 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40887 FILM NUMBER: 211500605 BUSINESS ADDRESS: BUSINESS PHONE: 352 26 21 25 1 MAIL ADDRESS: STREET 1: 17-21, BOULEVARD JOSEPH II CITY: LUXEMBOURG STATE: N4 ZIP: L-1840 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: J. Safra Sarasin Holding AG CENTRAL INDEX KEY: 0001890222 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40887 FILM NUMBER: 211500603 BUSINESS ADDRESS: BUSINESS PHONE: 41 (0)58 317 44 44 MAIL ADDRESS: STREET 1: WALLSTRASSE 1 CITY: BASEL STATE: V8 ZIP: 4051 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: J. Safra Holdings International (Luxembourg) S.A. CENTRAL INDEX KEY: 0001890226 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40887 FILM NUMBER: 211500602 BUSINESS ADDRESS: BUSINESS PHONE: 352 45 47 81 34 2 MAIL ADDRESS: STREET 1: 17-21, BOULEVARD JOSEPH II CITY: LUXEMBOURG STATE: N4 ZIP: L-1840 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: J. Safra Holdings Luxembourg S.a r.l. CENTRAL INDEX KEY: 0001890236 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40887 FILM NUMBER: 211500601 BUSINESS ADDRESS: BUSINESS PHONE: 352 45 47 81 34 2 MAIL ADDRESS: STREET 1: 17-21, BOULEVARD JOSEPH II CITY: LUXEMBOURG STATE: N4 ZIP: L-1840 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JS International Holdings Ltd CENTRAL INDEX KEY: 0001890243 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40887 FILM NUMBER: 211500600 BUSINESS ADDRESS: BUSINESS PHONE: 242 603 7902 MAIL ADDRESS: STREET 1: LYFORD FINANCIAL CENTRE STREET 2: BUILDING 2, WESTERN ROAD CB-10988 CITY: LYFORD CAY, NEW PROVIDENCE STATE: C5 ZIP: NA ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Life Time Group Holdings, Inc. CENTRAL INDEX KEY: 0001869198 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEMBERSHIP SPORTS & RECREATION CLUBS [7997] IRS NUMBER: 473481985 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2902 CORPORATE PLACE CITY: CHANHASSEN STATE: MN ZIP: 55317 BUSINESS PHONE: (952) 947-0000 MAIL ADDRESS: STREET 1: 2902 CORPORATE PLACE CITY: CHANHASSEN STATE: MN ZIP: 55317 4/A 1 form4.xml FORM 4/A X0306 4/A 2021-10-12 2021-10-14 0001869198 Life Time Group Holdings, Inc. LTH 0001886697 JSS LTF HOLDINGS LTD MARCY BUILDING, PURCELL ESTATE P.O. BOX 2416 ROAD TOWN, TORTOLA D8 VG1110 VIRGIN ISLANDS, BRITISH true 0001890192 Colwood Investment Holding Inc. AVENIDA SAMUEL LEWIS Y CALLE 54 EDIFICIO AFRA PANAMA R1 NA PANAMA true 0001890199 JSS Private Investments Fund I 17-21, BOULEVARD JOSEPH II LUXEMBOURG N4 L-1840 LUXEMBOURG true 0001890207 JSS Private Equity Investments Fund GP S.a r.l. 17-21, BOULEVARD JOSEPH II LUXEMBOURG N4 L-1840 LUXEMBOURG true 0001890255 J. Safra Sarasin Fund Management (Luxembourg) S.A. 17-21, BOULEVARD JOSEPH II LUXEMBOURG N4 L-1840 LUXEMBOURG true 0001890210 J. Safra Sarasin Asset Management (Europe) Ltd 47 BERKELEY SQUARE LONDON X0 W1J 5AU UNITED KINGDOM true 0001890222 J. Safra Sarasin Holding AG WALLSTRASSE 1 BASEL V8 4051 SWITZERLAND true 0001890226 J. Safra Holdings International (Luxembourg) S.A. 17-21, BOULEVARD JOSEPH II LUXEMBOURG N4 L-1840 LUXEMBOURG true 0001890236 J. Safra Holdings Luxembourg S.a r.l. 17-21, BOULEVARD JOSEPH II LUXEMBOURG N4 L-1840 LUXEMBOURG true 0001890243 JS International Holdings Ltd LYFORD FINANCIAL CENTRE BUILDING 2, WESTERN ROAD CB-10988 LYFORD CAY, NEW PROVIDENCE C5 NA BAHAMAS true Common Stock 2021-10-12 4 C 0 150787 A 3150787 D Common Stock 2021-10-12 4 P 0 227777 18 A 3378564 D Series A Preferred Stock 2021-10-12 4 C 0 122429 D Common Stock 150787 0 D Each share of Series A preferred stock automatically converted into common stock upon the closing of the Issuer's initial public offering in accordance with the Certificate of Designations pertaining to the Series A preferred stock. Each of Colwood Investment Holding Inc. (as sole director of the Reporting Person), JSS Private Investments Fund I (as stockholder of the Reporting Person), JSS Private Equity Investments Fund GP S.a.r.l. (as general partner of JSS Private Investments Fund I), J. Safra Sarasin Fund Management (Luxembourg) S.A. and J. Safra Sarasin Asset Management (Europe) Limited (as investment manager and sub-manager, respectively, of JSS Private Investments Fund I), J. Safra Sarasin Holding AG (as stockholder of JSS Private Equity Investments Fund GP S.a.r.l.), J. Safra Holdings International (Luxembourg) S.A. (as stockholder of J. Safra Sarasin Holding AG), J. Safra Holdings Luxembourg S.a.r.l. (as stockholder of J. Safra Holdings International (Luxembourg) S.A.) and JS International Holdings Limited (as stockholder of J. Safra Holdings Luxembourg S.a.r.l.) (collectively, "Other Reporting Persons") may be deemed to share beneficial ownership of the shares of common stock and Series A preferred stock held by the Reporting Person within the meaning of Section 13 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"). Each of the the Reporting Person and Other Reporting Persons, and each of their respective directors, officers, partners, stockholders, members and managers, expressly disclaims beneficial ownership of these securities, except to the extent of any pecuniary interest therein, and this Form 4 should not be deemed an admission that any such person is the beneficial owner of, or has any pecuniary interest in, such securities for purposes of Section 16 of the Exchange Act or for any other purpose. This filing amends the original solely to add signature blocks for the Other Reporting Persons. JSS LTF HOLDINGS LTD By: /s/ Daniel Wainberg Daniel Wainberg Authorized Person By: /s/ Jose Bouzas Jose Bouzas Authorized Person 2021-12-17 Colwood Investment Holding Inc. By: /s/ Jose Bouzas Jose Bouzas Director /s/ Israel Borba Israel Borba Director 2021-12-17 JSS Private Investments Fund I By: JSS Private Equity Investments Fund GP S.a.r.l, as its managing general partner By: /s/ Ronnie Neefs Ronnie Neefs Director /s/ Robert Hamidou Robert Hamidou Authorized Signatory 2021-12-17 JSS Private Equity Investments Fund GP S.a.r.l By: /s/ Ronnie Neefs Ronnie Neefs Director /s/ Robert Hamidou Robert Hamidou Authorized Signatory 2021-12-17 J. Safra Sarasin Fund Management (Luxembourg) S.A. By: /s/Ronnie Neefs Ronnie Neefs Conducting Officer /s/Robert Hamidou Robert Hamidou Authorized Signatory 2021-12-17 J. Safra Sarasin Asset Management (Europe) Limited By: /s/ Abigail Carroll Abigail Carroll Director /s/ Adam Chaplin Adam Chaplin Chief Operating Officer 2021-12-17 J. Safra Sarasin Holding AG By: /s/ Stephane Astruc Stephane Astruc Authorized Signatory /s/ Salomon Sebban Salomon Sebban Authorized Signatory 2021-12-17 J. Safra Holdings International (Luxembourg) S.A. By: /s/ Gonzalo Pintos Gonzalo Pintos Director /s/ Pascoal Bruno Pascoal Bruno Director 2021-12-17 J. Safra Holdings Luxembourg S.a.r.l. By: /s/ Gonzalo Pintos Gonzalo Pintos Manager /s/ Pascoal Bruno Pascoal Bruno Manager 2021-12-17 JS International Holdings Limited By: /s/ Jose Bouzas Jose Bouzas Director /s/ Israel Borba Israel Borba Director 2021-12-17