0001214659-21-010500.txt : 20211014 0001214659-21-010500.hdr.sgml : 20211014 20211014144622 ACCESSION NUMBER: 0001214659-21-010500 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211012 FILED AS OF DATE: 20211014 DATE AS OF CHANGE: 20211014 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LifeCo PTC Ltd. CENTRAL INDEX KEY: 0001886994 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40887 FILM NUMBER: 211323229 BUSINESS ADDRESS: STREET 1: RICHMOND HOUSE STREET 2: 12 PAR-LA-VILLE ROAD CITY: HAMILTON STATE: D0 ZIP: HM 08 BUSINESS PHONE: 6462822663 MAIL ADDRESS: STREET 1: 499 PARK AVENUE STREET 2: 24TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LifeCo LLC CENTRAL INDEX KEY: 0001887009 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40887 FILM NUMBER: 211323230 BUSINESS ADDRESS: STREET 1: 5 WATERLOO LANE, UNIT 5A CITY: PEMBROKE STATE: D0 ZIP: 08 BUSINESS PHONE: 6462822663 MAIL ADDRESS: STREET 1: 499 PARK AVENUE STREET 2: 24TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 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 1 marketforms-54015.xml PRIMARY DOCUMENT X0306 4 2021-10-12 0001869198 Life Time Group Holdings, Inc. LTH 0001887009 LifeCo LLC 5 WATERLOO LANE, UNIT 5A PEMBROKE D0 HM08 BERMUDA false false true false 0001886994 LifeCo PTC Ltd. RICHMOND HOUSE, 12 PAR-LA-VILLE ROAD HAMILTON D0 HM08 BERMUDA false false true false Common Stock 2021-10-12 4 C false 402099 A 8402099 D Common Stock 2021-10-12 4 P false 600000 18 A 9002099 D Series A Preferred Stock 2021-10-12 4 C false 326477 D Common Stock 402099 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. These securities are held of record by LifeCo LLC. LifeCo PTC Ltd. is the managing member of LifeCo LLC and is controlled by its board of directors, which consists of Alec Anderson, Peter Pearman, Craig MacIntyre and Carlos Perez. /s/ Alec Anderson 2021-10-14 /s/ Alec Anderson 2021-10-14