0001104659-24-070868.txt : 20240612
0001104659-24-070868.hdr.sgml : 20240612
20240612163057
ACCESSION NUMBER: 0001104659-24-070868
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240501
FILED AS OF DATE: 20240612
DATE AS OF CHANGE: 20240612
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sinclair III Eric L. (Ric)
CENTRAL INDEX KEY: 0001998250
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-42125
FILM NUMBER: 241038811
MAIL ADDRESS:
STREET 1: 1550 DIGITAL DRIVE, #300
CITY: LEHI
STATE: UT
ZIP: 84043
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Waystar Holding Corp.
CENTRAL INDEX KEY: 0001990354
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373]
ORGANIZATION NAME: 06 Technology
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1550 DIGITAL DRIVE, #300
CITY: LEHI
STATE: UT
ZIP: 84043
BUSINESS PHONE: 844-492-9782
MAIL ADDRESS:
STREET 1: 1550 DIGITAL DRIVE, #300
CITY: LEHI
STATE: UT
ZIP: 84043
4
1
tm2416795-2_4seq1.xml
OWNERSHIP DOCUMENT
X0508
4
2024-05-01
0
0001990354
Waystar Holding Corp.
WAY
0001998250
Sinclair III Eric L. (Ric)
1550 DIGITAL DRIVE, #300
LEHI
UT
84043
0
1
0
0
Chief Business Officer
0
Common Stock
2024-06-10
4
A
0
173913
0
A
173913
D
Stock Options (right to buy)
37.20
2024-05-01
4
A
0
72600
0
A
2034-05-01
Common Stock
72600
72600
D
Stock Options (right to buy)
21.50
2024-06-06
4
A
0
434782
0
A
2034-06-06
Common Stock
434782
434782
D
Reflects a grant of restricted stock units ("RSUs") which vest in five substantially equal annual installments commencing on June 6, 2025. Each RSU represents a contingent right to receive one share of common stock, $0.01 par value per share (the "Common Stock") upon settlement.
Includes unvested RSUs.
On May 1, 2024 reporting person was granted options to purchase shares of Common Stock which vest in three substantially equal annual installments commencing on May 1, 2025. Such securities were originally included on the Form 3 filed by the reporting person on June 7, 2024. Reflects the 0.605-for-1 reverse stock split which became effective on May 15, 2024.
On June 6, 2024 reporting person was granted options to purchase shares of Common Stock which vest in five substantially equal annual installments commencing on June 6, 2025. Such securities were originally included on the Form 3 filed by the reporting person on June 7, 2024.
/s/ Matthew R. A. Heiman, as Attorney-in-Fact
2024-06-12