0000899243-23-013830.txt : 20230524 0000899243-23-013830.hdr.sgml : 20230524 20230524213309 ACCESSION NUMBER: 0000899243-23-013830 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230523 FILED AS OF DATE: 20230524 DATE AS OF CHANGE: 20230524 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CPF III PT SPV, LLC CENTRAL INDEX KEY: 0001975601 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40033 FILM NUMBER: 23955762 BUSINESS ADDRESS: STREET 1: 980 NORTH MICHIGAN AVENUE STREET 2: SUITE 1998 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: (312) 273-4750 MAIL ADDRESS: STREET 1: 980 NORTH MICHIGAN AVENUE STREET 2: SUITE 1998 CITY: CHICAGO STATE: IL ZIP: 60611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CPF III-A PT SPV, LLC CENTRAL INDEX KEY: 0001975600 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40033 FILM NUMBER: 23955761 BUSINESS ADDRESS: STREET 1: 980 NORTH MICHIGAN AVENUE STREET 2: SUITE 1998 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: (312) 273-4750 MAIL ADDRESS: STREET 1: 980 NORTH MICHIGAN AVENUE STREET 2: SUITE 1998 CITY: CHICAGO STATE: IL ZIP: 60611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chicago Pacific Founders GP III, L.P. CENTRAL INDEX KEY: 0001975828 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40033 FILM NUMBER: 23955763 BUSINESS ADDRESS: STREET 1: 980 NORTH MICHIGAN AVENUE STREET 2: SUITE 1998 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: (312) 273-4750 MAIL ADDRESS: STREET 1: 980 NORTH MICHIGAN AVENUE STREET 2: SUITE 1998 CITY: CHICAGO STATE: IL ZIP: 60611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chicago Pacific Founders UGP III, LLC CENTRAL INDEX KEY: 0001975658 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40033 FILM NUMBER: 23955764 BUSINESS ADDRESS: STREET 1: 980 NORTH MICHIGAN AVENUE STREET 2: SUITE 1998 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: (312) 273-4750 MAIL ADDRESS: STREET 1: 980 NORTH MICHIGAN AVENUE STREET 2: SUITE 1998 CITY: CHICAGO STATE: IL ZIP: 60611 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: P3 Health Partners Inc. CENTRAL INDEX KEY: 0001832511 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000] IRS NUMBER: 852992794 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2045 W GRAND AVE STE B STREET 2: PMB # 82152 CITY: CHICAGO STATE: IL ZIP: 60612-1577 BUSINESS PHONE: 312-822-8897 MAIL ADDRESS: STREET 1: 2045 W GRAND AVE STE B STREET 2: PMB # 82152 CITY: CHICAGO STATE: IL ZIP: 60612-1577 FORMER COMPANY: FORMER CONFORMED NAME: Foresight Acquisition Corp. DATE OF NAME CHANGE: 20201116 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-05-23 0 0001832511 P3 Health Partners Inc. PIII 0001975658 Chicago Pacific Founders UGP III, LLC 980 NORTH MICHIGAN AVENUE, SUITE 1998 CHICAGO IL 60611 0 0 1 0 0001975828 Chicago Pacific Founders GP III, L.P. 980 NORTH MICHIGAN AVENUE, SUITE 1998 CHICAGO IL 60611 0 0 1 0 0001975601 CPF III PT SPV, LLC 980 NORTH MICHIGAN AVENUE, SUITE 1998 CHICAGO IL 60611 0 0 1 0 0001975600 CPF III-A PT SPV, LLC 980 NORTH MICHIGAN AVENUE, CHICAGO IL 60611 0 0 1 0 0 Class A Common Stock 2023-05-22 4 P 0 73006 3.94 A 48535611 I See Footnote Class A Common Stock 2023-05-23 4 P 0 106994 3.9071 A 48642605 I See Footnote Class A Common Stock 2023-05-24 4 P 0 50422 3.9304 A 48693027 I See Footnote Includes (i) 56,323 shares of Common Stock directly acquired by CPF III PT SPV, LLC ("SPV III") and (ii) 16,683 shares of Common Stock directly acquired by CPF III PT SPV-A, LLC ("SPV-A III"). Includes (i) 82,545 shares of Common Stock directly acquired by SPV III, and (ii) 24,449 shares of Common Stock directly acquired by SPV III -A. Includes (i) 38,825 shares of Common Stock directly acquired by SPV III, and (ii) 11,597 shares of Common Stock directly acquired by SPV III -A. Chicago Pacific Founders UGP, III LLC ("UGP III") is the general partner of Chicago Founders GP III, LP ("GP III"), the general partner of each of SPV III and SPV III -A. As a result, UGP III has the power to vote and dispose of the Issuer's securities held by SPV III and SPV III -A (the "Underlying Securities"). Each of UGP III and GP III disclaims beneficial ownership for the amount in excess of their pecuniary interest in the Underlying Securities. Chicago Pacific Founders UGP III, LLC, /s/ Michael Wilson, authorized signatory 2023-05-24 Chicago Pacific Founders GP III, L.P., /s/ Michael Wilson, authorized signatory 2023-05-24 CPF III PT SPV, LLC, /s/ Michael Wilson, authorized signatory 2023-05-24 CPF III-A PT SPV, LLC, /s/ Michael Wilson, authorized signatory 2023-05-24