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