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